Individual
FRED HERBERT WELCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1620 E 12TH ST, TULSA, OK 74120-5407
(918) 582-2131
(918) 588-8822
Mailing address
450 W 7TH ST APT 1602, TULSA, OK 74119-1041
(918) 582-2131
(918) 588-8822
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1715
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A029
CHAMPUS
OK
Enumeration date
12/06/2006
Last updated
07/08/2007
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