Individual
TAYLOR JUSTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2325 S HARVARD AVE, TULSA, OK 74114-3300
(918) 557-7482
Mailing address
16206 ADAMS RD, MOUNDS, OK 74047-5348
(918) 557-7482
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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