Individual
KIRSTEN L IKERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 HAR-BER RD, GROVE, OK 74344
(918) 430-8298
Mailing address
1115 HAR-BER RD, GROVE, OK 74344
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OK
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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