Organization
AMIE KOEHN LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIE MARIE KOEHN LCSW (SOLE MEMBER/OWNER)
(918) 624-9088
Entity
Organization
Contact information
Practice address
3010 S HARVARD AVE, SUITE 110, TULSA, OK 74114-6124
(918) 624-9088
(918) 660-3631
Mailing address
3010 S HARVARD AVE, SUITE 110, TULSA, OK 74114-6124
(918) 624-9088
(918) 660-3631
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4170
OK
Other
Enumeration date
04/08/2015
Last updated
04/08/2015
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