Individual
KIMBERLY STEGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 VETERANS STREET, V, TALIHINA, OK 74571
(918) 413-1148
Mailing address
PO BOX 892, TALIHINA, OK 74571-0892
(918) 413-1148
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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