Individual
KIMBERLY R COUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
903 W MAIN ST, ANTLERS, OK 74523-2045
(580) 298-3001
Mailing address
PO BOX 226, RATTAN, OK 74562-0226
(580) 298-3001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/03/2012
Last updated
05/03/2012
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