Individual
AUSTIN WADE MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4933 E 25TH PL, TULSA, OK 74114-3727
(918) 706-1468
Mailing address
19831 E ROCKY CT, OWASSO, OK 74055-0409
(918) 706-1468
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6343
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/25/2014
Last updated
03/18/2020
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