Individual
THOMAS WAYNE EMMERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
6655 S YALE AVE, TULSA, OK 74136-3326
(918) 491-5749
(918) 491-5612
Mailing address
6655 S YALE AVE, TULSA, OK 74136-3326
(918) 491-5749
(918) 491-5612
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
219
OK
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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