Individual
ELIZABETH ELESE BUSHYHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW UNDER SUPV
Contact information
Practice address
1055 S HOUSTON AVE, TULSA, OK 74127-9043
(918) 921-3200
Mailing address
1055 S HOUSTON AVE, TULSA, OK 74127-9043
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
OK
Other
Enumeration date
01/28/2019
Last updated
07/09/2019
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