Individual
MR. MATTHEW WAYNE RAULSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
6216 S LEWIS AVE STE 102, TULSA, OK 74136-1075
(918) 268-7263
Mailing address
6216 S LEWIS AVE STE 102, TULSA, OK 74136-1075
(918) 268-7263
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5643
OK
1041C0700X
Clinical Social Worker
Primary
7050
OK
Other
Enumeration date
07/01/2015
Last updated
01/16/2026
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