Organization
TRAUMA CENTER FOR CHILDREN AND FAMILIES, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARISSA ANNA CARPENTER L. C. S. W. (SOLE OWNER)
(918) 381-6477
Entity
Organization
Contact information
Practice address
2021 S LEWIS AVE, SUITE 620, TULSA, OK 74104-5733
(918) 381-6477
Mailing address
3741 S XANTHUS AVE, TULSA, OK 74105-8141
(918) 381-6477
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4052
OK
Other
Enumeration date
11/16/2012
Last updated
11/16/2012
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