Individual
ELIZABETH RENEE DEARHAMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
219 E MIDWAY ST, BROKEN ARROW, OK 74012-2632
(918) 936-0152
Mailing address
1216 E KENOSHA ST APT 289, BROKEN ARROW, OK 74012-2007
(918) 936-0152
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4362
OK
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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