Individual
MS. SALLY ANN TOWNSEND-WELLONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
304 S MISSION ST, SAPULPA, OK 74066-4640
(918) 268-7295
(539) 664-5738
Mailing address
6216 S LEWIS AVE STE 180, TULSA, OK 74136-1077
(918) 960-7852
(539) 664-5738
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
5367
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200369760 B
—
OK
Enumeration date
11/16/2010
Last updated
07/07/2022
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