Individual
VICKIE KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBC, LPC
Contact information
Practice address
1105 LYNNWOOD ST, DURANT, OK 74701-2919
(580) 931-3441
Mailing address
PO BOX 813, DURANT, OK 74702-0813
(580) 931-3441
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2280
OK
Other
Enumeration date
05/30/2008
Last updated
05/30/2008
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