Kristen Marie Paige Gooding, KRISTEN

NPI #1992369359 in Pryor, Oklahoma

Provider Information

NPI Number: 1992369359
Entity Type: Individual
Name: Kristen Marie Paige Gooding, KRISTEN
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Credential: KRISTEN
Enumeration Date: Apr 30, 2019
Last Updated: May 22, 2019

Practice Location

Address: 109 N FAIRLAND ST
City: Pryor
State: Oklahoma
ZIP Code: 74361-4203
Phone: (918) 825-1405

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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