Individual
ANGELA MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1515 S CARSON AVE, TULSA, OK 74119-3845
(918) 818-7438
Mailing address
13848 226TH ST, LAURELTON, NY 11413-2743
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
096113
NY
104100000X
Social Worker
20690
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096113
—
NY
05
—
20690
—
OK
Enumeration date
11/16/2022
Last updated
02/19/2024
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