Individual
TIMOTHY AHEARN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2325 S HARVARD AVE, TULSA, OK 74114-3300
(918) 712-4301
Mailing address
2325 S HARVARD AVE, TULSA, OK 74114-3300
(918) 504-9829
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/14/2015
Last updated
02/01/2022
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