Individual
ROSE MARY KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
431 MORTON AVE, RAMONA, OK 74061
(918) 332-8718
Mailing address
431 MORTON AVE, RAMONA, OK 74061
(918) 332-8718
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
736017987
OK
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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