Individual
MS. MARLA KAYE CHISUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CM
Contact information
Practice address
1870 S BOULDER AVE, TULSA, OK 74119-5234
(918) 584-2114
(918) 585-1657
Mailing address
1742 E 60TH ST, TULSA, OK 74105-7013
(918) 743-5916
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
20142
OK
Other
Enumeration date
10/13/2007
Last updated
10/06/2016
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