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1073704961
GAYLA M. GOUGE
TULSA, OK
NPI
1073704961
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OK 2915)
Enumeration Date
2007-08-06
Last Update Date
2013-08-27
Business Address
Ms. GAYLA M. GOUGE MSW, LCSW
11740 E 21ST ST
TULSA, OK 74129-1820
Phone number: 918-437-9495
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Mailing Address
Ms. GAYLA M. GOUGE MSW, LCSW
1602 S PINE AVE
BROKEN ARROW, OK 74012-5211
Phone number: 918-852-9148
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