Individual
MRS. DANA DOUGHERTY KADOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
650 S PEORIA AVE, TULSA, OK 74120-4429
(757) 515-6705
Mailing address
10522 S URBANA AVE, TULSA, OK 74137-6247
(757) 515-6705
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5118
OK
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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