Individual
BETH ANN CLINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1820 S. 48TH EAST AVE, TULSA, OK 74112
(230) 918-6527
Mailing address
1820 S. 48TH EAST AVE, TULSA, OK 74112
(230) 918-6527
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
314309
OK
Other
Enumeration date
05/25/2020
Last updated
07/10/2023
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