Individual
KIMBERLY SUE HASKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
216 W A ST, WATONGA, OK 73772-4208
(580) 952-3900
Mailing address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5104
(580) 952-3900
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/10/2019
Last updated
01/15/2019
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