MR. Tom B Wages III, LCSW, ACSW

NPI #1639483985 in Bixby, Oklahoma

Provider Information

NPI Number: 1639483985
Entity Type: Individual
Name: MR. Tom B Wages III, LCSW, ACSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LCSW, ACSW
Enumeration Date: Jul 28, 2010
Last Updated: Jul 28, 2010

Practice Location

Address: 10703 E 111TH ST S
City: Bixby
State: Oklahoma
ZIP Code: 74008-2843
Phone: (918) 695-3336

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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