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Individual

MRS. KRISTY PRINCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LPC

Contact information

Practice address
3710 NE RICHMOND ST, LAWTON, OK 73507-8210
(580) 512-7502
Mailing address
3710 NE RICHMOND ST, LAWTON, OK 73507-8210
(580) 512-7502

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3582
OK

Other

Enumeration date
06/11/2010
Last updated
11/10/2010
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