Blacc, Daeva

Blacc, Daeva is an individual health care provider with primary practice located at 3322 E 30Th St , Tulsa OK 74114-6108. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Blacc, Daeva can be contacted via phone (918) 724-5680.

Contact Information

Primary practice address
3322 E 30Th St Tulsa OK 74114-6108
Phone: (918) 724-5680
Fax: (918) 743-8845
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1194083600
LBN Legal business name Blacc, Daeva
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2012
Last updated May 3rd, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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