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NPI Code Detail

MEDICARE: MS. TAMMY LYNN FOWLER RICE LCSW

MEDICARE:  MS. TAMMY LYNN FOWLER RICE  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker2756OK

General Provider Information

NPI Number : 1467570499
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TAMMY LYNN FOWLER RICE LCSW
Provider Business Mailing Address
First Line : 3100 ROBIN RD
Second Line :
City : MIDWEST CITY
State : OK
Zip : 73110-4131
Country : US
Telephone Number : 405-501-8029
Fax Number :
Provider Business Practice Location Address
First Line : 3909 SE 29TH ST STE 120
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73115-2615
Country : US
Telephone Number : 405-435-3347
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2007
Last Update Date : 06/16/2025

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Directions to “ MS. TAMMY LYNN FOWLER RICE LCSW” Practice Location

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