Individual
BRIDGET LATRICE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2560 E 48TH ST N, TULSA, OK 74130-2019
(918) 606-2780
Mailing address
2560 E 48TH ST N, TULSA, OK 74130-2019
(918) 606-2780
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
04/17/2017
Last updated
04/17/2017
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