STACEY R BLAYLOCK

TULSA, OK
NPI1790471589
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OK  5795)
Enumeration Date2023-04-13
Last Update Date2023-04-13
Business Address
STACEY R BLAYLOCK LCSW
7127 S OLYMPIA AVE
TULSA, OK 74132-1856
Phone number: 918-665-9500
Mailing Address
STACEY R BLAYLOCK LCSW
7127 S OLYMPIA AVE
TULSA, OK 74132-1856
Phone number: 918-665-9500
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