Individual
SELINA ANN RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BHRS
Contact information
Practice address
1843 E 15TH ST, TULSA, OK 74104-4610
(918) 712-8800
(918) 712-8802
Mailing address
PO BOX 2806, CLAREMORE, OK 74018-2806
(918) 231-5648
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/15/2013
Last updated
05/15/2013
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