Individual
HEATHER ANN HAILS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8308 N MAY AVE STE 100, OKLAHOMA CITY, OK 73120-4551
(405) 949-4200
Mailing address
2805 NW 17TH ST, OKLAHOMA CITY, OK 73107-3930
(405) 949-4200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6463
OK
1041C0700X
Clinical Social Worker
9925016
CO
Other
Enumeration date
08/31/2017
Last updated
07/29/2019
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