Individual
MATTHEW LAWRANCE TENNISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1008 24TH AVE NW, NORMAN, OK 73069-6369
(405) 310-3262
Mailing address
1008 24TH AVE NW, NORMAN, OK 73069-6369
(405) 310-3262
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
21062
OK
Other
Enumeration date
01/24/2019
Last updated
11/20/2024
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