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NPI Code Detail

MEDICARE: EMMA CONNALLY LMSW-P

MEDICARE: EMMA CONNALLY LMSW-P
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
1104100000XSocial Worker22520-POK

General Provider Information

NPI Number : 1033044771
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMA CONNALLY LMSW-P
Provider Business Mailing Address
First Line : 1421 S BOSTON AVE
Second Line :
City : TULSA
State : OK
Zip : 74119-3607
Country : US
Telephone Number : 918-599-7999
Fax Number :
Provider Business Practice Location Address
First Line : 1421 S BOSTON AVE
Second Line :
City : TULSA
State : OK
Zip : 74119-3607
Country : US
Telephone Number : 918-599-7999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2026
Last Update Date : 06/18/2026

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Directions to “ EMMA CONNALLY LMSW-P” Practice Location

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