Individual
DORIS THARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1008 S. MUSKOGEE, TAHLEQUAH, OK 74464
(918) 458-0113
(918) 458-0075
Mailing address
PO BOX 662, PURCELL, OK 73080
(405) 527-1785
(405) 527-1084
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3199
OK
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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