Individual
CAROL LILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
650 S PEORIA AVE, TULSA, OK 74120-4429
(918) 587-9471
(918) 560-1399
Mailing address
1328 N WILLOW AVE, BROKEN ARROW, OK 74012-9148
(918) 200-3442
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5489-P
OK
Other
Enumeration date
07/14/2014
Last updated
06/09/2016
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