Individual
MS. CRYSTAL DAWN GAYLORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
90 N 31ST ST, CLINTON, OK 73601-9116
(580) 323-6021
Mailing address
811 E KEE ST, WEATHERFORD, OK 73096-4003
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OK
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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