Individual
MALINDI SULTUSKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
405 E EXCELSIOR AVE, VINITA, OK 74301-4226
(844) 458-2100
Mailing address
405 E EXCELSIOR AVE, VINITA, OK 74301-4226
(844) 458-2100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8871
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/12/2017
Last updated
05/08/2024
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