Individual
DORIS WEBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6202 S LEWIS AVE STE H, TULSA, OK 74136-1064
(918) 949-4086
Mailing address
4408 E 67TH ST APT 6E, TULSA, OK 74136-2942
(918) 231-7815
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200287120A
—
OK
Enumeration date
05/07/2012
Last updated
05/07/2012
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