Individual
SHERRY WIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1760 S 79TH EAST AVE, TULSA, OK 74112-7056
(918) 497-7856
Mailing address
1760 S 79TH EAST AVE, TULSA, OK 74112-7056
(918) 497-7856
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/29/2013
Last updated
07/29/2013
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