Individual
CANDICE C KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7010 S YALE AVE, STE 215, TULSA, OK 74136-5713
(918) 492-2554
Mailing address
2720 S HUDSON PL, TULSA, OK 74114-4931
(918) 933-7574
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/19/2011
Last updated
04/10/2013
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