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Organization

INDIVIDUAL AND FAMILY MATTERS LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARQUITA TOLBERT (THERAPIST)
(918) 313-5835
Entity
Organization

Contact information

Practice address
20216 E 43RD PL S, BROKEN ARROW, OK 74014-1595
(918) 313-5835
Mailing address
20216 E 43RD PL S, BROKEN ARROW, OK 74014-1595
(918) 313-5835

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
04/20/2020
Last updated
04/20/2020
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