State Of Tranquility Llc | |
860 Copperfield Dr Suite A Norman OK 73072-4147 | |
(405) 625-9886 | |
(405) 310-4670 |
Full Name | State Of Tranquility Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 860 Copperfield Dr, Norman, Oklahoma |
Authorized Official Name and Position | Shannon Kay Sartori (OWNER) |
Authorized Official Contact | 4056259886 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
State Of Tranquility Llc Po Box 5848 Norman OK 73070-5848 Ph: (405) 625-9886 | State Of Tranquility Llc 860 Copperfield Dr Suite A Norman OK 73072-4147 Ph: (405) 625-9886 |
NPI Number | 1245467950 |
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Provider Enumeration Date | 06/19/2009 |
Last Update Date | 06/19/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245467950 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 3518 (Oklahoma) | Primary |
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