Individual
LAUREN BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW-ADM
Contact information
Practice address
1100 NW 14TH ST, OKLAHOMA CITY, OK 73106-4450
(405) 528-7721
Mailing address
1100 NW 14TH ST, OKLAHOMA CITY, OK 73106-4450
(405) 528-7721
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
20093
OK
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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