Individual
SUSAN CALLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 S PEORIA AVE, TULSA, OK 74120-4429
(918) 749-6095
Mailing address
650 S PEORIA AVE, TULSA, OK 74120-4429
(918) 749-6095
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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