Individual
LISA MARIE TREJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5310 E 31ST ST, TULSA, OK 74135-5018
(918) 600-3100
(918) 560-1399
Mailing address
5310 E 31ST ST, TULSA, OK 74135-5018
(918) 600-3100
(918) 560-1399
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7597
OK
Other
Enumeration date
01/12/2022
Last updated
01/12/2022
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