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Individual

PATTY CRISP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1055 S HOUSTON AVE, TULSA, OK 74127-9043
(918) 921-3200
(918) 560-1399
Mailing address
1055 S HOUSTON AVE, TULSA, OK 74127-9043
(918) 921-3200
(918) 560-1399

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4542
OK

Other

Enumeration date
09/23/2011
Last updated
11/23/2020
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