Individual
RACHEL ANN BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
11740 E 21ST ST, TULSA, OK 74129-1820
(918) 437-9495
Mailing address
2312 W MOBILE PL, BROKEN ARROW, OK 74011-8264
(314) 324-9504
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6172
OK
Other
Enumeration date
11/02/2017
Last updated
11/02/2017
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