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Matthew Smith

Peer Specialist in Tulsa, OK. Individual provider (NPI-1).

NPI number1013769967
StatusActive
Last updated in NPPESApr 3, 2024

Details

NPI
1013769967
Entity type
Individual (NPI-1)
Name
Matthew Smith
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 3, 2024
Certification date
Apr 3, 2024
Last updated
Apr 3, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes

Practice location

423 S 79th East Ave
Tulsa, OK 74112-2139

Phone 918-829-4076

Mailing address

423 S 79th East Ave
Tulsa, OK 74112-2139

Phone 918-829-4076

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