Individual
MARY GAIL DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5555 S LEWIS AVE, TULSA, OK 74105-7104
(918) 779-4556
Mailing address
757 N 24TH WEST AVE, TULSA, OK 74127-5255
(918) 779-4556
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/19/2011
Last updated
11/19/2011
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