Individual
KELLYE BAGGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5200 S YALE AVE STE 600, TULSA, OK 74135-7490
(539) 430-1385
Mailing address
5200 S YALE AVE STE 600, TULSA, OK 74135-7490
(539) 430-1385
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6847
OK
Other
Enumeration date
05/22/2014
Last updated
09/19/2024
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