Individual
MRS. KRISTAL ROSE MALVEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4502 E 41ST STREET, TULSA, OK 74135
(918) 960-0207
Mailing address
3171 S 129TH EAST AVE, SUITE A PMB 2054, TULSA, OK 74134-3215
(918) 960-0207
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6361
OK
Other
Enumeration date
02/16/2007
Last updated
01/24/2023
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