Individual
KHERI SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 S GIN RD, ATOKA, OK 74525
(580) 889-3399
Mailing address
1401 SOUTH GIN ROAD, ATOKA, OK 74525
(580) 889-3399
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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