Individual
RUTANYA SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3604 N MARTIN LUTHER KING JR BLVD, TULSA, OK 74106-6447
(918) 425-4200
(918) 425-4202
Mailing address
650 S PEORIA AVE, TULSA, OK 74120-4429
(918) 587-9471
(918) 560-1399
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
110220
TX
1041C0700X
Clinical Social Worker
ISW04100
RI
Other
Enumeration date
11/21/2013
Last updated
07/23/2025
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