Individual
KRISTY DEVAN MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
802 E MAIN ST, SUITE C, STIGLER, OK 74462-2771
(918) 967-4463
(918) 967-2594
Mailing address
802 E MAIN ST, SUITE C, STIGLER, OK 74462-2771
(918) 967-4463
(918) 967-2594
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/08/2007
Last updated
11/08/2007
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