Individual
KIMBERLY LASHAUN WINSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
225 S WARDS CHAPEL, ATOKA, OK 74525-4104
(580) 380-1844
Mailing address
5009 ABLE ST, SPENCER, OK 73084-2523
(405) 812-9958
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/29/2010
Last updated
05/29/2010
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