Individual
DODIE KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
735 N FOREMAN ST, VINITA, OK 74301-1422
(918) 256-9201
(918) 256-9205
Mailing address
6502 S YALE AVE STE 3410, TULSA, OK 74136-8329
(918) 499-4855
(918) 488-6098
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
100732380C
OK
1041C0700X
Clinical Social Worker
Primary
5861
OK
Other
Enumeration date
08/04/2010
Last updated
04/14/2026
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