Mr. Daeva Blacc
Mr. Daeva Blacc is a Social Worker in Tulsa, Oklahoma. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
3322 E 30th StTulsa, OK 74114-6108
Phone: (918) 724-5680
Fax: (918) 743-8845
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X |
|---|
Record details
| NPI number | 1194083600 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 3, 2012 |
| Last updated in NPPES | May 3, 2012 |
| Mailing address | 3322 E 30th St, Tulsa, OK 74114-6108 |
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