Individual
ELIZABETH PAGE BROCKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6655 S YALE AVE, TULSA, OK 74136-3326
(918) 491-3700
(918) 491-5740
Mailing address
7701 WARNER AVE, #Q237, HUNTINGTON BEACH, CA 92647-4773
(714) 517-6318
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5868
OK
1041C0700X
Clinical Social Worker
LCS 28348
CA
Other
Enumeration date
06/04/2007
Last updated
10/04/2018
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