Individual
BREN JELEA ULBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4444 E 41ST ST, TULSA, OK 74135-2527
(918) 619-4400
(918) 660-3631
Mailing address
6028 S 66TH EAST AVE, STE. 105, TULSA, OK 74145-9231
(918) 361-1619
(918) 499-2280
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4593
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2002424700B
—
OK
Enumeration date
07/28/2010
Last updated
11/02/2018
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