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Individual

TOM JOSEPHSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
1122 S EVANSTON AVE, TULSA, OK 74104-4132
(918) 728-1643
Mailing address
1122 S EVANSTON AVE, TULSA, OK 74104-4132
(918) 728-1643

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3972
OK

Other

Enumeration date
04/11/2008
Last updated
04/29/2015
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