Individual
PATRICIA HERCULES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
650 S PEORIA AVE, TULSA, OK 74120-4429
(918) 841-0008
Mailing address
1045 N NARCISSUS AVE, BROKEN ARROW, OK 74012-1469
(918) 841-0008
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
251B00000X
Case Management Agency
J082676900
OK
Other
Enumeration date
01/20/2016
Last updated
07/26/2021
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