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Individual

KRISTIN MOSQUEDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BS, BHRS

Contact information

Practice address
230 W MAPLE AVE, ENID, OK 73701-4012
(580) 242-5544
(580) 233-8905
Mailing address
230 W MAPLE AVE, ENID, OK 73701-4012
(580) 242-5544
(580) 233-8905

Taxonomy

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

Other

Enumeration date
07/05/2012
Last updated
07/05/2012
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