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Individual

CRYSTAL LOVINGGOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1021 MILL ST, ALVA, OK 73717-1533
(580) 922-5061
Mailing address
1021 MILL ST., ALVA, OK 73717

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
09/19/2012
Last updated
09/19/2012
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