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1780791590
MARK A SMALLEY
TULSA, OK
NPI
1780791590
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OK 2340)
Enumeration Date
2006-08-25
Last Update Date
2020-03-25
Business Address
Mr. MARK A SMALLEY LCSW, LADC
3712 E 11TH STREET
TULSA, OK 74112
Phone number: 918-834-4194
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Mailing Address
Mr. MARK A SMALLEY LCSW, LADC
3712 E 11TH STREET
TULSA, OK 74112
Phone number: 918-622-1944
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