Individual
TANYA MATTEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6501 NE 50TH ST, OKLAHOMA CITY, OK 73141-9118
(405) 605-6111
Mailing address
1124 CADDELL LN, NORMAN, OK 73069-4541
(405) 447-4327
(405) 447-4327
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2865
OK
Other
Enumeration date
12/28/2007
Last updated
12/28/2007
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