Individual
MS. MIMI KATHRYN MOHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6655 S YALE AVE, TULSA, OK 74136-3326
(918) 491-3700
(918) 481-4063
Mailing address
PO BOX 707001, TULSA, OK 74170-7001
(888) 247-0125
(918) 502-0881
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5365
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200507120A
—
OK
Enumeration date
01/10/2013
Last updated
03/16/2022
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