Organization
SOLID ROCK LIFE THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICTORIA MCDANIEL-TRACY LCSW (OWNER)
(918) 949-5965
Entity
Organization
Contact information
Practice address
9753 N 52ND WEST AVE, SPERRY, OK 74073-4032
(918) 949-5965
Mailing address
9753 N 52ND WEST AVE, SPERRY, OK 74073-4032
(918) 949-5965
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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