Individual
MRS. KARLY LYNN MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2140 S. HARVARD, TULSA, OK 74114
(918) 747-6377
(918) 747-8594
Mailing address
1608 E. 35TH ST., TULSA, OK 74105
(918) 810-0941
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3900
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200382850A
OK DEPT. OF MENTAL HEALTH & SUB. ABUSE
OK
05
—
200382850A
—
OK
Enumeration date
05/17/2010
Last updated
03/29/2012
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