Individual
LONI STARTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7320 S YALE AVE STE B, TULSA, OK 74136-7034
(918) 558-1518
Mailing address
7320 S YALE AVE STE B, TULSA, OK 74136-7034
(918) 558-1815
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
21060-P
OK
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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