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1164795803
MELISSA GANTZ
BROKEN ARROW, OK
NPI
1164795803
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OK 2715)
Enumeration Date
2012-02-10
Last Update Date
2024-04-03
Business Address
MELISSA GANTZ LCSW
102 N ELM PL STE N
BROKEN ARROW, OK 74012-3883
Phone number: 918-760-8155
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Mailing Address
MELISSA GANTZ LCSW
2928 N FERN CT
BROKEN ARROW, OK 74012-0834
Phone number: 918-760-8155
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