Individual
MALLORY WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6028 S 66TH EAST AVE STE 103, TULSA, OK 74145-9226
(918) 734-0970
Mailing address
3721 N GARRISON AVE, TULSA, OK 74106-1519
(918) 734-0970
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7801
OK
1041C0700X
Clinical Social Worker
Primary
21805
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
831054839
—
OK
Enumeration date
07/14/2021
Last updated
03/04/2026
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