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Individual

REBEKA SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1323 N 94TH EAST AVE, TULSA, OK 74115-5919
(918) 852-9098
Mailing address
3445 S SHERIDAN RD, TULSA, OK 74145-1105
(918) 610-3366

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
313176
OK
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
03/13/2017
Last updated
07/15/2020
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