Individual
TYLER ROBERT DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
5310 E 31ST ST, TULSA, OK 74135-5012
(918) 600-3100
Mailing address
5310 E 31ST ST, TULSA, OK 74135-5012
(918) 600-3100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
21094-P
OK
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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