Organization
ANGELA BAUER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAYNA EMSHOFF (CREDENTIALING)
(405) 831-9084
Entity
Organization
Contact information
Practice address
5512 S LEWIS AVE STE 8B, TULSA, OK 74105-7140
(539) 777-1158
(918) 749-2774
Mailing address
5427 E 110TH PL, TULSA, OK 74137-7252
(918) 691-3032
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5212
OK
Other
Enumeration date
06/01/2017
Last updated
03/17/2018
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