Individual
ANNA MARIA KETTLEWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
7320 S YALE AVE STE B, TULSA, OK 74136-7034
(918) 992-2335
Mailing address
7320 S YALE AVE STE B, TULSA, OK 74136-7034
(918) 992-2335
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
20535
OK
Other
Enumeration date
08/05/2021
Last updated
10/31/2024
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