Individual
TAMERA ANN MYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
201 S GARNETT RD, TULSA, OK 74128-1805
(180) 092-7397
(918) 437-8016
Mailing address
201 S GARNETT RD, TULSA, OK 74128-1805
(180) 092-7397
(918) 437-8016
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3107
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200311180A
—
OK
Enumeration date
12/17/2008
Last updated
04/25/2012
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