Individual
TOM COLLINS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3133 E 79TH ST, TULSA, OK 74136-8741
(918) 557-8186
Mailing address
3133 E 79TH ST, TULSA, OK 74136-8741
(918) 557-8186
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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