Individual
KIMBERLEY LEE COOK-VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC #624
Contact information
Practice address
2511 S MUSKOGEE AVE, TAHLEQUAH, OK 74464-5459
(918) 431-0634
(918) 431-0654
Mailing address
2511 S MUSKOGEE AVE, TAHLEQUAH, OK 74464-5459
(918) 431-0634
(918) 431-0654
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
624
OK
Other
Enumeration date
04/27/2010
Last updated
10/21/2015
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