Individual
MS. TRACI DENISE BARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
14101 N EASTERN AVE, EDMOND, OK 73013-5859
(405) 340-1621
Mailing address
14101 N EASTERN AVE, EDMOND, OK 73013-5859
(405) 340-1621
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2358
OK
Other
Enumeration date
01/31/2013
Last updated
02/11/2020
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