Individual
KATHRYN LEE BLALOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1027 E 66TH PL, TULSA, OK 74136-3701
(918) 492-8200
(918) 492-4075
Mailing address
1027 E 66TH PL, TULSA, OK 74136-3701
(918) 492-8200
(918) 492-4075
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2731
OK
Other
Enumeration date
04/07/2010
Last updated
04/07/2010
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