Individual
MS. COURTNEY RENEE COLVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11740 E 21ST ST, TULSA, OK 74129-1820
(918) 437-9495
Mailing address
18132 E ADMIRAL PL, CATOOSA, OK 74015-2809
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/31/2013
Last updated
12/31/2013
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