Individual
MRS. CHRISTINA MARIE THETFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1402 N BERRY CT, STILLWATER, OK 74075-5904
(580) 320-8161
Mailing address
1402 N BERRY CT, STILLWATER, OK 74075-5904
(580) 320-8161
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/11/2011
Last updated
11/11/2011
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