Individual
ERIKA DUBOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6128 E 38TH ST, TULSA, OK 74135-5832
(918) 712-0163
Mailing address
4051 E 24TH ST, TULSA, OK 74114-3401
(239) 503-0003
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8647
OK
Other
Enumeration date
03/20/2017
Last updated
02/19/2024
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