Individual
MARY EILEEN CAMERIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5525 E. 51ST, SUITE 215, TULSA, OK 74135-7818
(918) 488-8454
(918) 488-8118
Mailing address
7774 S CANTON AVE, TULSA, OK 74136-8261
(918) 488-8454
(918) 488-8118
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2399
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578634036
CLINICAL SOCIAL WORKER
OK
Enumeration date
11/13/2006
Last updated
07/08/2007
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