Individual
GRETA KAY BEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2325 S HARVARD AVE, TULSA, OK 74114-3300
(918) 712-4301
Mailing address
650 S PEORIA AVE, TULSA, OK 74120-4429
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2702
OK
Other
Enumeration date
11/26/2007
Last updated
11/26/2007
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