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Individual

TABITHA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5840 S MEMORIAL DR STE 3003, TULSA, OK 74145-9052
(918) 724-2920
Mailing address
1813 S KINGSTON AVE, TULSA, OK 74112-7123
(918) 724-2920

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149017062
IL
1041C0700X
Clinical Social Worker
Primary
5707
OK

Other

Enumeration date
08/09/2016
Last updated
09/20/2019
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