Individual
ALLIN GOUDEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7252 S 87TH EAST AVE # 52-106, TULSA, OK 74133-3148
(918) 625-8492
Mailing address
7252 S 87TH EAST AVE # 52-106, TULSA, OK 74133-3148
(918) 625-8492
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
OK
Other
Enumeration date
01/06/2023
Last updated
01/06/2023
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