Individual
MR. TOM EDMUND KNUDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
923 NE 18TH ST, OKLAHOMA CITY, OK 73105-8203
(405) 973-6135
Mailing address
923 NE 18TH ST, OKLAHOMA CITY, OK 73105-8203
(405) 973-6135
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
OK
Other
Enumeration date
05/14/2015
Last updated
05/14/2015
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