Individual
MISTY MCCONAHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1027 E 66TH PL, TULSA, OK 74136-3701
(918) 492-8200
(918) 492-4075
Mailing address
6262 S SHERIDAN RD, TULSA, OK 74133-4055
(918) 492-8200
(918) 493-3268
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3654
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3654
STATE LICENSE
OK
Enumeration date
01/25/2011
Last updated
01/25/2011
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