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Individual

TRACY CULWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4436 NW 50TH ST, OKLAHOMA CITY, OK 73112-2212
(405) 858-2700
Mailing address
3979 STONEBROOK DR, NORMAN, OK 73072-9192
(405) 924-2804

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10
BEHAVIORAL HEALTH AND SOCIAL SERVICE PROVIDERS
OK
Enumeration date
08/15/2012
Last updated
08/15/2012
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