Most Relevant Information
Provider Data
NPI Number: | 1003307901 |
Provider Name: | MILAGRO TAURUS MSW LCSW |
Entity Type: | Individual |
Taxonomy Code: | 1041C0700X |
Specialty: | Social Worker |
License Number: | 5856 |
Most Important Dates
Enumeration Date: | 05/25/2018 |
Last Updated: | 05/25/2018 |
Provider Practice Location
6051 N BROOKLINE AVE
SUITE 127
OKLAHOMA
OK
73112
Practice Location Phone/Fax
Phone: | 4059790127 |
Fax: |
Provider Mailing Location
1316 NE 12TH STREET
#709
OKLAHOMA
OK
73117
Provider Mailing Phone/Fax
Phone: | 4059790127 |
Fax: |