Individual
EWELINA IGNACZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5116 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-2077
(405) 943-7500
Mailing address
5116 N PORTLAND AVE STE 100, OKLAHOMA CITY, OK 73112-2077
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8776
OK
Other
Enumeration date
08/29/2018
Last updated
11/22/2022
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