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1396166484
MICHAEL WITHAM
TULSA, OK
NPI
1396166484
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2013-12-17
Last Update Date
2023-12-13
Business Address
MICHAEL WITHAM
2325 S HARVARD AVE
TULSA, OK 74114-3300
Phone number: 918-712-4301
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Mailing Address
MICHAEL WITHAM
2325 S HARVARD AVE
TULSA, OK 74114-3300
Phone number: 918-712-4301
Copy
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