Individual
DECHARYLYN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6949 E MARSHALL ST, TULSA, OK 74115-6819
(225) 284-7632
Mailing address
6949 E MARSHALL ST, TULSA, OK 74115-6819
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
CSW008233
GA
Other
Enumeration date
10/30/2015
Last updated
12/23/2024
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