Individual
AMARA LEIGH KIRKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 W MAIN ST, WILBURTON, OK 74578-4043
(918) 465-7890
Mailing address
13792 SE 1000TH AVE, TUSKAHOMA, OK 74574
(918) 448-5301
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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