Individual
CHEROKEE RICA-LEIGH KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3501 W KENOSHA ST, BROKEN ARROW, OK 74012-8948
(855) 782-7822
Mailing address
1111 N IRONWOOD AVE, BROKEN ARROW, OK 74012-1506
(620) 252-5306
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/25/2022
Last updated
05/20/2025
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