Organization
ELIZABETH PAGE BROCKWELL LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH BROCKWELL LCSW (OWNER)
(918) 760-5465
Entity
Organization
Contact information
Practice address
2202 E 49TH ST STE 400, TULSA, OK 74105-8714
(918) 760-5465
Mailing address
2202 E 49TH ST STE 400, TULSA, OK 74105-8714
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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