Individual
MACKENZIE LEA FARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 N DENVER AVE, TULSA, OK 74103-1806
(918) 582-1200
(918) 560-1399
Mailing address
7142 S 92ND EAST AVE # 301, TULSA, OK 74133-5310
(580) 306-1128
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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