Individual
MRS. OLIVIA PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
650 S PEORIA AVE, TULSA, OK 74120-4429
(918) 587-9471
Mailing address
2608 W KENOSHA ST # 230, BROKEN ARROW, OK 74012-8952
(918) 842-3577
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/13/2020
Last updated
11/28/2023
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