Gaylord, Crystal Dawn

Gaylord, Crystal Dawn is an individual health care provider with primary practice located at 90 N 31St St , Clinton OK 73601-9116. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Gaylord, Crystal Dawn can be contacted via phone (580) 323-6021.

Contact Information

Primary practice address
90 N 31St St Clinton OK 73601-9116
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Oklahoma

Profile Details

NPI number 1891065579
LBN Legal business name Gaylord, Crystal Dawn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2012
Last updated Jan 11th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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