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1508151796
MATTHEW ALLEN ACKENHAUSEN
TULSA, OK
NPI
1508151796
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
Enumeration Date
2011-06-15
Last Update Date
2015-01-16
Business Address
MATTHEW ALLEN ACKENHAUSEN
3031 E 84TH ST
TULSA, OK 74137-1414
Phone number: 918-282-3654
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Mailing Address
MATTHEW ALLEN ACKENHAUSEN
3031 E 84TH ST
TULSA, OK 74137-1414
Phone number: 918-282-3654
Copy
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