Individual
MATTHEW ALLEN ACKENHAUSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3031 E 84TH ST, TULSA, OK 74137-1414
(918) 282-3654
Mailing address
3031 E 84TH ST, TULSA, OK 74137-1414
(918) 282-3654
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/15/2011
Last updated
01/16/2015
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