Individual
KRISTIN AVANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, LCSW
Contact information
Practice address
1277 SKILL CENTER CIR, TAHLEQUAH, OK 74464-6495
(918) 772-4004
(918) 431-1173
Mailing address
1510 E SHAWNEE CIR, TAHLEQUAH, OK 74464-2528
(918) 772-4004
(918) 207-0424
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6233
OK
Other
Enumeration date
05/18/2015
Last updated
08/06/2019
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