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1932314135
KATHLEEN ERICA TYES
TULSA, OK
NPI
1932314135
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK 41)
Enumeration Date
2007-05-11
Last Update Date
2007-07-08
Business Address
Ms. KATHLEEN ERICA TYES cadc
6333 E SKELLY DR
TULSA, OK 74135-6106
Phone number: 918-779-7148
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Mailing Address
Ms. KATHLEEN ERICA TYES cadc
6333 E SKELLY DR
TULSA, OK 74135-6106
Phone number: 918-779-7148
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