Individual
MRS. KIMBERLY ANN QUINTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., L.P.C.
Contact information
Practice address
216 W A ST, WATONGA, OK 73772-4208
(580) 623-7199
Mailing address
RR 1 BOX 68, WEATHERFORD, OK 73096-9709
(580) 772-6833
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2042
OK
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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