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General NPI Number Information
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NPI Number | 1124676424
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Entity Type | Organization
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Legal Business Name | WECONNECTCOUNSELING
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Dates
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Enumeration Date | 08/29/2019
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Last Update Date | 07/14/2020
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Provider Practice Location Address
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Address Line | 3015 E SKELLY DR STE 313
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City | TULSA
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State | OK
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Zip | 74105-6366
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Country | US
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Telephone | 918-280-8602
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 35031
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City | TULSA
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State | OK
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Zip | 74153-0031
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Country | US
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Telephone | 918-280-8602
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | KATHERINE M LUNA
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Credential | LCSW
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Telephone | 918-280-8602
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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