Individual
MS. GAIL MARY FLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
635 W 11TH ST, TULSA, OK 74127-9014
(918) 382-3541
(918) 382-4621
Mailing address
2507 E 2ND ST, TULSA, OK 74104-1903
(918) 584-0290
(918) 584-0290
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
3550
OK
Other
Enumeration date
12/15/2008
Last updated
12/15/2008
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