Individual
KARLEEN TALLEY DAUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3750 W MAIN ST STE AA, NORMAN, OK 73072-4663
(405) 364-6233
(405) 701-5421
Mailing address
860A COPPERFIELD DR, NORMAN, OK 73072-4147
(405) 364-6233
(405) 321-8381
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1158
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100717330A
—
OK
Enumeration date
06/07/2006
Last updated
01/30/2018
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