Individual
BEVERLY PETRA RICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1801 N HIGHWAY 66, CATOOSA, OK 74015-3067
(918) 805-1526
(918) 777-9720
Mailing address
8437 N 77TH EAST AVE, OWASSO, OK 74055-7417
(918) 805-1526
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
3464
OK
1041C0700X
Clinical Social Worker
Primary
4992
OK
Other
Enumeration date
03/31/2011
Last updated
10/20/2020
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