Individual
MS. KRYSTAL KAY COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
13440 S 129TH EAST AVE, BROKEN ARROW, OK 74011-7447
(918) 955-1506
Mailing address
13440 S 129TH EAST AVE, BROKEN ARROW, OK 74011-7447
(918) 955-1506
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/24/2010
Last updated
05/24/2010
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