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Individual

KIRSTEN DIRATO-MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
231 E GRAHAM AVE, MAYES COUNTY CLINIC, PRYOR, OK 74361-2436
(918) 825-1405
(918) 825-1406
Mailing address
6216 S LEWIS AVE STE 180, TULSA, OK 74136-1077
(918) 960-7852
(539) 664-5738

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
11/02/2009
Last updated
04/09/2024
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