Individual
KRISTIN E SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
112 W MAIN ST, PURCELL, OK 73080-4220
(405) 527-1785
(405) 527-1084
Mailing address
112 W MAIN ST, PURCELL, OK 73080-4220
(405) 527-1785
(405) 527-1084
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3958
OK
Other
Enumeration date
11/02/2010
Last updated
11/02/2010
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