Individual
MR. ROGER A RUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
4300 S HARVARD AVE, SUITE 100, TULSA, OK 74135-2619
(918) 585-3170
(918) 744-4432
Mailing address
4300 S HARVARD AVE, SUITE 100, TULSA, OK 74135-2619
(918) 585-3170
(918) 744-4432
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
471
OK
Other
Enumeration date
07/11/2007
Last updated
07/11/2007
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