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Organization

TIMOTHYLCSW LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIMOTHY DEARHAMER LCSW (OWNER/THERAPIST)
(918) 947-9560
Entity
Organization

Contact information

Practice address
7914 E 106TH ST STE 205, TULSA, OK 74133-6802
(918) 947-9560
Mailing address
7914 E 106TH ST STE 205, TULSA, OK 74133-6802
(918) 947-9560

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200790040A
OK
Enumeration date
10/27/2022
Last updated
10/27/2022
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