Trauma Center For Children And Families, L.l.c.

NPI 1275877144 - Social Worker - 1041C0700X

NPI Details
NPI 1275877144
Enumeration Date 11/16/2012
Last Updated 11/16/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name MARISSA ANNA MARISSA
Position SOLE OWNER
Phone (918) 381-6477
Fax
Practice Location
2021 S LEWIS AVE
SUITE 620
TULSA OK, 74104-5733, US
Phone (918) 381-6477
Fax
Business Location
3741 S XANTHUS AVE
TULSA OK, 74105-8141, US
Phone (918) 381-6477
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Oklahoma
License Number 4052
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According to our database, Trauma Center For Children And Families, L.l.c. NPI is 1275877144, taxonomy code is 1041C0700X and license number is 4052, license state is located at Oklahoma. Trauma Center For Children And Families, L.l.c. physically located at 2021 S Lewis Ave, Tulsa OK, 74104-5733. NPI Number 1033115704 has the healthcare provider type.

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1275877144 NPI number is provided on an as is basis without warranty of any kind. 1275877144 is maintained by the National Plan & Provider Enumeration System. The contents of Trauma Center For Children And Families, L.l.c. are for informational purposes only.