Individual
WILLIAM JAMES LIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1620 E 12TH ST, TULSA, OK 74120-5407
(918) 588-8888
Mailing address
1620 E 12TH ST, TULSA, OK 74120-5407
(918) 588-8815
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6165
OK
Other
Enumeration date
12/14/2011
Last updated
03/05/2018
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