Individual
DORIS ANGELICA BACCALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5350 S WESTERN AVE STE 734, OKLAHOMA CITY, OK 73109-4535
(405) 605-8488
(888) 877-9894
Mailing address
5350 S WESTERN AVE STE 734, OKLAHOMA CITY, OK 73109-4535
(405) 237-8980
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
22056
OK
Other
Enumeration date
09/01/2023
Last updated
11/03/2025
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