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DAEVA BLACC

Social Worker

NPI: 1194083600Individual

Specialties, Licenses & Credentials

Social WorkerPrimary

Social Worker

Code: 104100000X

Contact & Hours

Address
3322 E 30TH ST
TULSA, OK 74114

Quick Facts

NPI
1194083600
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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