Individual
ELODIE BIRDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2804 E KNOXVILLE ST, BROKEN ARROW, OK 74014-2813
(918) 519-8735
Mailing address
2804 E KNOXVILLE ST, BROKEN ARROW, OK 74014-2813
(918) 519-8735
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5185-P
OK
Other
Enumeration date
08/06/2015
Last updated
08/06/2015
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