Individual
KURT RUARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
103 W MAIN ST, WILBURTON, OK 74578-4043
(918) 465-7890
Mailing address
517 E IDA AVE, SALLISAW, OK 74955-6457
(918) 774-5295
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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