KIM LEIGH BIRDSONG

PONCA CITY, OK
NPI1134287378
Other NameKIM LEIGH MARTIN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: OK  3112)
Enumeration Date2006-12-04
Last Update Date2007-07-08
Business Address
MRS. KIM LEIGH BIRDSONG LPC
1500 N 6TH ST
PONCA CITY, OK 74601-2827
Phone number: 580-762-7561
Mailing Address
MRS. KIM LEIGH BIRDSONG LPC
2117 BAINBRIDGE AVE
PONCA CITY, OK 74604-2404
Phone number: 580-762-4374
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