Individual
SVETLANA A PLYUSHKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
2448 E. 81ST STREET, SUITE 5125, TULSA, OK 74137-4213
(918) 392-7875
(800) 260-7966
Mailing address
7413 S HICKORY AVE, BROKEN ARROW, OK 74011-6046
(918) 392-7875
(800) 206-7966
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
TRAINING IN PROCESS
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NEW ENROLLMENT
OHCA (OKLAHOMA)
OK
Enumeration date
03/08/2013
Last updated
03/08/2013
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