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1144422338
TINA M BEVANS
TULSA, OK
NPI
1144422338
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OK 3592)
Enumeration Date
2007-06-01
Last Update Date
2016-09-21
Business Address
-- TINA M BEVANS LCSW
3010 S HARVARD AVE STE 110
TULSA, OK 74114-6126
Phone number: 918-313-2142
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Mailing Address
-- TINA M BEVANS LCSW
PO BOX 140353
BROKEN ARROW, OK 74014-0017
Phone number: 918-313-2142
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