Individual
HEATHER EILEEN WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3171 S 129TH EAST AVE # 3037, TULSA, OK 74134-3205
(918) 500-2351
(918) 380-3004
Mailing address
3171 S 129TH EAST AVE # 3037, TULSA, OK 74134-3205
(918) 500-2351
(918) 380-3004
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
10802804-03
OK
1041C0700X
Clinical Social Worker
Primary
20580
OK
Other
Enumeration date
07/19/2021
Last updated
05/31/2025
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