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Daeva Blacc
NPI 1194083600 · on the registry since 2012
Practice
- Address
- 3322 E 30th St
Tulsa, OK 74114 - Phone
- (918) 724-5680
- Fax
- (918) 743-8845
- Organisation at this address
- Mental Health Assoc. In Tulsa
Mental Health Assoc. In Tulsa
Mental Health Association In TulsaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Social Worker
104100000X
- Sex
- Male
- Record last updated
- 2012-05-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma