Individual
TERESA BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4835 S FULTON AVE STE 107, TULSA, OK 74135-6976
(918) 712-8800
Mailing address
401 S 42ND WEST AVE, TULSA, OK 74127-7732
(918) 261-9161
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5026
OK
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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