Individual
MAECY KIRKLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1505 E MAIN ST, STIGLER, OK 74462-2913
(918) 967-3368
(918) 967-4582
Mailing address
PO BOX 11818, FORT SMITH, AR 72917-1818
(479) 452-6650
(479) 452-5847
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6116
OK
104100000X
Social Worker
8231-M
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100733860B
—
OK
05
—
200507310A
—
OK
Enumeration date
06/17/2016
Last updated
10/25/2018
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