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Individual

SCOTT MATTHEW WILLIAMS GABRIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
100 N MAIN ST, SAPULPA, OK 74066-3904
(918) 224-9307
Mailing address
5664 S 88TH EAST AVE, TULSA, OK 74145-7907
(918) 224-9307

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8434
OK

Other

Enumeration date
11/16/2022
Last updated
11/16/2022
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