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Individual

ANDREW DUFFY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
11740 E 21ST ST, TULSA, OK 74129-1820
(918) 437-9495
Mailing address
650 S PEORIA AVE, TULSA, OK 74120-4429
(918) 587-9741
(918) 650-1399

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
6708
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200664150A
OK
Enumeration date
01/05/2016
Last updated
03/21/2022
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