Individual
KELLY A LINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 N MAIN ST, KINGFISHER, OK 73750-2720
(405) 375-3735
(405) 262-1331
Mailing address
107 N MAIN ST, KINGFISHER, OK 73750-2720
(405) 375-3735
(405) 262-1331
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/30/2014
Last updated
01/30/2014
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