Individual
CHRISTA VAN TASSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4502 E 41ST ST RM 3A16, TULSA, OK 74135-2536
(539) 867-9370
Mailing address
4502 E 41ST ST RM 3A16, TULSA, OK 74135-2536
(539) 867-9370
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17100000X
OK
171M00000X
Case Manager/Care Coordinator
2055
OK
Other
Enumeration date
03/12/2024
Last updated
03/12/2024
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