Individual
MR. TY MARSHALL BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2619 N HARVEY AVE, OKLAHOMA CITY, OK 73103-3017
(405) 525-3959
(405) 525-3439
Mailing address
2619 N HARVEY AVE, OKLAHOMA CITY, OK 73103-3017
(405) 525-3959
(405) 525-3439
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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