Individual
KEDRIC CECIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
305 3RD AVE, HAVRE, MT 59501-3576
(406) 265-5827
(406) 265-5949
Mailing address
PO BOX 1903, HAVRE, MT 59501-1903
(406) 265-5827
(406) 265-5949
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
87LCPC
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0250926
—
MT
Enumeration date
08/23/2005
Last updated
07/13/2007
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