Individual
DEBRA JEAN MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5310 E 31ST ST, TULSA, OK 74135-5018
(918) 600-3100
(918) 560-1399
Mailing address
5310 E 31ST ST, TULSA, OK 74135-5018
(918) 600-3100
(918) 560-1399
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200323940
—
OK
Enumeration date
10/20/2017
Last updated
02/01/2022
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