Individual
MS. TERESA REEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W
Contact information
Practice address
15310 N MAY AVE # 201, EDMOND, OK 73013
(405) 938-1444
(405) 938-1445
Mailing address
5085 NW 220TH ST, EDMOND, OK 73025-9167
(405) 740-0253
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5029
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699055871
—
OK
Enumeration date
08/19/2011
Last updated
08/02/2018
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