Individual
TIMOTHY DEARHAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9500 N 129TH EAST AVE STE 200, OWASSO, OK 74055-5376
(918) 858-4353
Mailing address
9500 N 129TH EAST AVE STE 200, OWASSO, OK 74055-5376
(918) 858-4353
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/19/2016
Last updated
02/25/2022
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