Provider Demographics
NPI:1174867659
Name:MORROW, MISTY DAWN
Entity Type:Individual
Prefix:MRS
First Name:MISTY
Middle Name:DAWN
Last Name:MORROW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4808 S ELWOOD AVE
Mailing Address - Street 2:LOT 614
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74107-8100
Mailing Address - Country:US
Mailing Address - Phone:918-946-5498
Mailing Address - Fax:
Practice Address - Street 1:4808 S ELWOOD AVE
Practice Address - Street 2:LOT 614
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74107-8100
Practice Address - Country:US
Practice Address - Phone:918-946-5498
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-21
Last Update Date:2012-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker