Individual
AMANDA SHANTEL MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1920 S CINCINNATI AVE, TULSA, OK 74119-5228
(918) 833-9400
Mailing address
5183 S 369TH WEST AVE, MANNFORD, OK 74044-2655
(918) 313-5063
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
06/21/2019
Last updated
06/21/2019
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