Individual
THELMA BEATRICA BOAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1206 N BOSTON AVE, TULSA, OK 74106-4604
(918) 855-0761
Mailing address
1014 E 66TH PL APT 527, TULSA, OK 74136-3717
(918) 855-0761
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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