Individual
ANA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
711 S MUSKOGEE AVE, TAHLEQUAH, OK 74464-4717
(918) 506-0314
Mailing address
723 N VINITA AVE, APT 30, TAHLEQUAH, OK 74464-2248
(918) 506-0314
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/13/2013
Last updated
11/13/2013
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