Telisha Kale Christian, P.S.R.S

Individual provider Active NPI Social Worker · Weatherford, OK

NPI 1326329236 · NPPES record last updated Sep 6, 2011

Key facts

NPI
1326329236
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
P081919379 (OK)
Practice address
1221 N Kaiser Rd
Weatherford, OK 73096-2224
Phone
(580) 774-1231
NPI assigned
Sep 6, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
P081919379OKMDSocial Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X P081919379 OK Yes

Addresses

Primary practice location

1221 N Kaiser Rd
Weatherford, OK 73096-2224

Mailing address

1221 N Kaiser Rd
Weatherford, OK 73096-2224
Phone (580) 774-1231

Other providers in Weatherford, OK

All providers in Weatherford, OK · Social Worker in Oklahoma

Sources for this page

Verify at the official NPI Registry.