Individual
KRISTEN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8125 S WALKER AVE, OKLAHOMA CITY, OK 73139-9417
(405) 835-3285
Mailing address
4617 W NICKLAS AVE APT C, OKLAHOMA CITY, OK 73132-6919
(903) 280-3911
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20533
OK
1041C0700X
Clinical Social Worker
9506-M
AR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/11/2019
Last updated
02/14/2024
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