Individual
MR. MARK A SMALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, LADC
Contact information
Practice address
3712 E 11TH STREET, TULSA, OK 74112
(918) 834-4194
(918) 834-4189
Mailing address
3712 E 11TH STREET, TULSA, OK 74112
(918) 622-1944
(918) 834-4189
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2340
OK
Other
Enumeration date
08/25/2006
Last updated
03/25/2020
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