Provider Demographics
NPI:1518281112
Name:ESQUILIN, WALESKA (MASTER SOCIAL WORKER)
Entity Type:Individual
Prefix:MRS
First Name:WALESKA
Middle Name:
Last Name:ESQUILIN
Suffix:
Gender:F
Credentials:MASTER SOCIAL WORKER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4101 24TH AVE SE APT 6
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-0830
Mailing Address - Country:US
Mailing Address - Phone:910-612-7254
Mailing Address - Fax:
Practice Address - Street 1:420 SW 10TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73109-5601
Practice Address - Country:US
Practice Address - Phone:405-236-0701
Practice Address - Fax:405-236-0737
Is Sole Proprietor?:No
Enumeration Date:2010-03-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR90951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical