Individual
HEATHER ANN THARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW-P
Contact information
Practice address
19600 E ROSS ST, TAHLEQUAH, OK 74464-0545
(539) 234-3000
Mailing address
17371 N BRYANT RD, TAHLEQUAH, OK 74464-1112
(918) 822-4271
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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