Individual
MS. ELIZABETH ANN GWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHR LMFT
Contact information
Practice address
8596 E 101ST ST, SUITE D, TULSA, OK 74133-7034
(918) 906-0784
Mailing address
12952 E 182ND ST S, BIXBY, OK 74008-7731
(918) 906-0784
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
719LMFT
OK
Other
Enumeration date
09/27/2006
Last updated
02/13/2012
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