Provider Demographics
NPI:1023103371
Name:CUTRIGHT, JOHN DUNCAN (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:DUNCAN
Last Name:CUTRIGHT
Suffix:
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4870 S LEWIS AVE
Mailing Address - Street 2:SUITE #190
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74105-5151
Mailing Address - Country:US
Mailing Address - Phone:918-284-0123
Mailing Address - Fax:918-742-7677
Practice Address - Street 1:4870 S LEWIS AVE
Practice Address - Street 2:SUITE #190
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74105-5151
Practice Address - Country:US
Practice Address - Phone:918-284-0123
Practice Address - Fax:918-742-7677
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK26341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical