Individual
MS. EZRIKAI BROAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LADC
Contact information
Practice address
6216 S LEWIS AVE STE 180, TULSA, OK 74136-1077
(918) 960-7852
(539) 664-5738
Mailing address
6216 S LEWIS AVE STE 180, TULSA, OK 74136-1077
(918) 960-7852
(396) 645-7385
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1039
OK
1041C0700X
Clinical Social Worker
Primary
3928
OK
Other
Enumeration date
12/30/2008
Last updated
03/26/2024
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