Individual
MS. TINA MARIE QUALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1401 MORRIS DR, OKMULGEE, OK 74447-6429
(918) 758-1910
(918) 758-1910
Mailing address
1401 MORRIS DR, OKMULGEE, OK 74447-6429
(918) 758-1910
(918) 756-1270
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
OK
Other
Enumeration date
12/01/2017
Last updated
03/18/2021
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