Individual
MS. REBECCA SUE HACKWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3227 E. 31ST ST., SUITE 200, TULSA, OK 74105
(918) 749-4600
(918) 749-7144
Mailing address
3227 E. 31ST ST., SUITE 200, TULSA, OK 74105
(918) 749-4600
(918) 749-7144
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2269
OK
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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