MEDICARE: DEBORAH ANN CRUZ-BOWEN 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
1	1041C0700X	Clinical Social Worker	7239	OK

General Provider Information

NPI Number	:	1881284347
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH ANN CRUZ-BOWEN LCSW

Provider Business Mailing Address
First Line	:	8005 E 87TH ST
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74133-4832
Country	:	US
Telephone Number	:	918-845-5920
Fax Number	:

Provider Business Practice Location Address
First Line	:	8005 E 87TH ST
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74133-4832
Country	:	US
Telephone Number	:	918-845-5920
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2021
Last Update Date	:	06/20/2022

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Directions to “ DEBORAH ANN CRUZ-BOWEN LCSW” Practice Location

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