Individual
MRS. HADEACHA A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2448 E 81ST ST STE 4460, TULSA, OK 74137-4251
(918) 600-2966
Mailing address
2621 E 88TH ST APT 437, TULSA, OK 74137-1122
(918) 805-3528
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
319274
OK
Other
Enumeration date
04/19/2024
Last updated
12/01/2024
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