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Individual

MS. SANDRA LEE WICKLIFFE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4300 S HARVARD AVE., SUITE 100, TULSA, OK 74135
(918) 584-7500
(918) 585-2676
Mailing address
4300 S HARVARD AVE, TULSA, OK 74135-2619
(918) 584-7500
(918) 585-2876

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
OK

Other

Enumeration date
05/10/2010
Last updated
05/10/2010
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