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1568158293
KRISTINA WOOD
TISHOMINGO, OK
NPI
1568158293
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2023-04-14
Last Update Date
2023-05-22
Business Address
KRISTINA WOOD LADC-MH Supervision
102 E 4TH ST
TISHOMINGO, OK 73460-2002
Phone number: 580-257-9614
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Mailing Address
KRISTINA WOOD LADC-MH Supervision
102 E 4TH ST
TISHOMINGO, OK 73460-2002
Phone number: 580-257-9614
Copy
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