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Individual

MS. ROBERTA SUE HEUSTIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LADC, (US)

Contact information

Practice address
2727 E ADMIRAL PL, TULSA, OK 74110-5436
(918) 835-3017
(918) 836-0358
Mailing address
18921 W WEKIWA RD LOT 31, SAND SPRINGS, OK 74063-5970
(918) 981-0833

Taxonomy

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

Other

Enumeration date
06/01/2007
Last updated
11/12/2014
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