Individual
KIMBERLY DIANE OLIVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5935 E 79TH ST, TULSA, OK 74136-9125
(716) 254-1889
Mailing address
5935 E 79TH ST, TULSA, OK 74136-9125
(716) 254-1889
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
NY
Other
Enumeration date
04/24/2015
Last updated
04/24/2015
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