MR. DAEVA BLACC NPI 1194083600

NPI Information

MR. Daeva Blacc is a social worker in Tulsa, OK. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. MR. Daeva Blacc NPI is 1194083600. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3322 E 30TH ST
TULSA, OK
ZIP 74114-108
Phone: (918) 724-5680
Fax: (918) 743-8845

The enumeration date for this NPI number is 5/3/2012 and was last updated on 5/3/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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