Individual
NURIAN CLAY CABALLERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
512 W ATLANTA ST, BROKEN ARROW, OK 74012-7004
(918) 280-9104
Mailing address
7805 E 55TH ST, TULSA, OK 74145-7816
(918) 859-0472
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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