Individual
KERVIN WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
942 P ST SW, ARDMORE, OK 73401-3583
(405) 819-0084
Mailing address
942 P ST SW, ARDMORE, OK 73401-3583
(405) 819-0084
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
12/02/2013
Last updated
12/02/2013
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