Individual
TIARA DELONIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 W 36TH ST N SUITE 1, TULSA, OK 74106
(918) 425-4200
Mailing address
1 W 36TH ST N STE 1, TULSA, OK 74106-1703
(918) 425-4200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7222
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200287120A
—
OK
Enumeration date
09/21/2012
Last updated
10/16/2020
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