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Individual

SANDRA LOUISE OLIVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
9700 S PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73159-6917
(405) 641-4138
Mailing address
PO BOX 12490, OKLAHOMA CITY, OK 73157-2490
(405) 641-4138

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3702
OK

Other

Enumeration date
06/13/2010
Last updated
12/20/2013
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