Organization
TOLLEFSEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA B MERSHON (DIRECTOR OF COMMUNITY SERVICES)
(918) 743-3676
Entity
Organization
Contact information
Practice address
636 EAST 3RD STREET, TULSA, OK 74120-1044
(918) 743-3676
Mailing address
636 EAST 3RD STREET, TULSA, OK 74120-1044
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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