Individual
KIMBERLY NICOLE HUSTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1306 W BROADWAY ST, ARDMORE, OK 73401-2838
(918) 973-2451
Mailing address
1421 3RD AVE SW, ARDMORE, OK 73401-3217
(918) 973-2451
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7115
OK
Other
Enumeration date
08/24/2015
Last updated
10/15/2023
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