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NPI Code Detail

MEDICARE: THELMA FAYE KING MSW

MEDICARE: THELMA FAYE KING MSW
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 Worker2779OK

General Provider Information

NPI Number : 1760726962
Entity Type Code : Individual
Provider Name (Legal Business Name) : THELMA FAYE KING MSW
Provider Business Mailing Address
First Line : 1340 S URBANA AVE
Second Line :
City : TULSA
State : OK
Zip : 74112-6135
Country : US
Telephone Number : 918-834-2819
Fax Number :
Provider Business Practice Location Address
First Line : 1340 S URBANA AVE
Second Line :
City : TULSA
State : OK
Zip : 74112-6135
Country : US
Telephone Number : 918-834-2819
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2012
Last Update Date : 11/12/2012

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Directions to “ THELMA FAYE KING MSW” Practice Location

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