Individual
KRISTINA SKINNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
107 POLK CREEK ST, POTEAU, OK 74953-5479
(918) 413-2423
Mailing address
107 POLK CREEK ST, POTEAU, OK 74953-5479
(918) 413-2423
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/28/2014
Last updated
05/28/2014
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