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1205987385
PHILIP LEWIS COTTRELL
TULSA, OK
NPI
1205987385
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OK 178)
Enumeration Date
2007-01-15
Last Update Date
2010-10-08
Business Address
Mr. PHILIP LEWIS COTTRELL LCSW
4612 S HARVARD AVE
TULSA, OK 74135-2908
Phone number: 918-747-0355
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Mailing Address
Mr. PHILIP LEWIS COTTRELL LCSW
4612 S HARVARD AVE
TULSA, OK 74135-2908
Phone number: 918-747-0355
Copy
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