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Individual

KATHY ANN MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
204 WALL ST, SUITE A, POTEAU, OK 74953-4400
(918) 647-2155
(918) 647-4095
Mailing address
PO BOX 179, STIGLER, OK 74462-0179
(918) 967-3368
(918) 967-4582

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3640
OK

Other

Enumeration date
10/02/2012
Last updated
02/05/2025
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