MS. Angela Renee Short
MS. Angela Renee Short is a Case Management Agency in Tulsa, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.
- Licensed in
- OK
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
2121 S 125th East Ave Ste 106Tulsa, OK 74129-5800
Phone: (918) 574-8442
Fax: (918) 591-3955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X · Licence 311698 (OK) |
|---|---|
| Case Management Agency | Taxonomy 251B00000X |
Record details
| NPI number | 1811417934 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 20, 2017 |
| Last updated in NPPES | February 22, 2024 |
| Certification date | February 22, 2024 |
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