Individual
KRISTIE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1235 12TH AVE NW, ARDMORE, OK 73401-1578
(580) 222-0421
(580) 222-0420
Mailing address
1235 12TH AVE NW, ARDMORE, OK 73401-1578
(580) 222-0421
(580) 222-0420
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2919
OK
Other
Enumeration date
04/08/2008
Last updated
11/27/2024
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