Individual
CRYSTAL KIXMILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 S 1ST ST, MADILL, OK 73446-3425
(580) 795-3170
Mailing address
109 S 1ST ST, MADILL, OK 73446-3425
(580) 795-3170
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/11/2010
Last updated
06/11/2010
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