Individual
MARTIN ANTONIO ZALDIVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
650 S PEORIA AVE, TULSA, OK 74120-4429
(918) 587-9471
Mailing address
1401 E CONCORD ST, BROKEN ARROW, OK 74012-9259
(415) 216-3095
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7836
OK
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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