Willetta Shavon Hurt

NPI #1154719193 in Tulsa, Oklahoma

Provider Information

NPI Number: 1154719193
Entity Type: Individual
Name: Willetta Shavon Hurt
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Dec 29, 2014
Last Updated: Dec 29, 2014

Practice Location

Address: 16410 E 50TH PL
City: Tulsa
State: Oklahoma
ZIP Code: 74134-7210
Phone: (918) 457-8675

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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