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1952488124
SHAROLYN JAN WALLACE
TULSA, OK
NPI
1952488124
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OK 1803-LCSW)
Enumeration Date
2006-11-01
Last Update Date
2007-07-08
Business Address
-- SHAROLYN JAN WALLACE Phd, LCSW
3015 E SKELLY DR
TULSA, OK 74105-6317
Phone number: 918-665-0208
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Mailing Address
-- SHAROLYN JAN WALLACE Phd, LCSW
PO BOX 27451
TULSA, OK 74149-0451
Phone number: 918-639-4574
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