Individual
MARY MCNAMARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3216 S EVANSTON AVE, TULSA, OK 74105-2431
(918) 636-0679
Mailing address
3216 S EVANSTON AVE, TULSA, OK 74105-2431
(918) 636-0679
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2489
OK
Other
Enumeration date
04/05/2016
Last updated
04/05/2016
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