Individual
DONNA KAY VANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
PO BOX 52101, TULSA, OK 74152-0101
(918) 704-7402
(918) 744-1596
Mailing address
PO BOX 52101, TULSA, OK 74152-0101
(918) 704-7402
(918) 744-1596
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1415
OK
Other
Enumeration date
07/18/2006
Last updated
01/12/2023
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