Individual
KELLEY DEANN MILLIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5335 E 30TH PL, TULSA, OK 74114-6313
(918) 230-1109
Mailing address
5335 EAST 30TH PLACE, TULSA, OK 74114
(918) 230-1109
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5354
OK
Other
Enumeration date
06/05/2017
Last updated
03/03/2022
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