Individual
KIRSTEN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
MEDICAL FAMILY THERAPY, 2510 CHICKASAW BLVD., ARDMORE, OK 73401
(580) 222-2884
Mailing address
RESOURCE MANAGEMENT, 210 E. MAIN ST, ADA, OK 74820
(580) 436-7211
(580) 272-5757
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007328830
—
OK
Enumeration date
05/09/2016
Last updated
03/13/2018
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