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Individual

KRISTY ANN MORRELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW-P

Contact information

Practice address
706 MADELINE DR, SHAWNEE, OK 74801-6564
(405) 585-9653
Mailing address
706 MADELINE DR, SHAWNEE, OK 74801-6564
(405) 585-9653

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
4331-P
OK
1041C0700X
Clinical Social Worker
Primary
4331-P
OK

Other

Enumeration date
10/22/2012
Last updated
10/22/2012
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