Individual
SUZANNE W WHITTLESEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1900 E 15TH STREET, BLDG. 600 STE C, EDMOND, OK 73013-6610
(405) 437-0014
(405) 300-0704
Mailing address
PO BOX 18395, OKLAHOMA CITY, OK 73154-0395
(405) 437-0014
(405) 300-0704
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
65
OK
Other
Enumeration date
03/14/2006
Last updated
05/31/2019
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