Individual
KIM PODANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
134 N 12TH AVE, DURANT, OK 74701-4718
(580) 924-6363
(580) 924-0379
Mailing address
134 N 12TH AVE, DURANT, OK 74701-4718
(580) 924-6363
(580) 924-0379
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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