Individual
CHRISTINE DELOSIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 S PEORIA AVE, TULSA, OK 74120-3820
(918) 588-1900
Mailing address
550 S PEORIA AVE, TULSA, OK 74120-3820
(918) 588-1900
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
171M00000X
Case Manager/Care Coordinator
Primary
1962823815
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100729210A
—
OK
Enumeration date
12/19/2013
Last updated
06/22/2022
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