Individual
DEREK SWIFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
19320 E ADMIRAL PL STE B, CATOOSA, OK 74015-3240
(918) 340-5503
(918) 340-5503
Mailing address
19320 E ADMIRAL PL STE B, CATOOSA, OK 74015-3240
(918) 340-5503
(918) 340-5503
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
20488-P
OK
Other
Enumeration date
01/05/2023
Last updated
10/06/2023
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