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Individual

DANETTE LYN KIRK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1120 E MAIN ST, NORMAN, OK 73071-5300
(405) 360-5100
Mailing address
3607 JUBILEE ST, NORMAN, OK 73072-1959
(405) 313-7956

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11139
OK
101YM0800X
Mental Health Counselor

Other

Enumeration date
08/17/2021
Last updated
06/17/2024
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