Individual
CHARLOTTE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
252 W 17TH PL, TULSA, OK 74119-4654
(918) 585-1213
(918) 585-9543
Mailing address
1870 S BOULDER AVE, TULSA, OK 74119-5234
(918) 585-1213
(918) 585-1263
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/10/2014
Last updated
03/10/2014
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