Provider Demographics
NPI:1205443652
Name:GEORGE, PERLINDA MAY (MSW)
Entity type:Individual
Prefix:
First Name:PERLINDA
Middle Name:MAY
Last Name:GEORGE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3615 60TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73026-0401
Mailing Address - Country:US
Mailing Address - Phone:405-413-1633
Mailing Address - Fax:
Practice Address - Street 1:203 HAL MULDROW DR STE 4
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-5288
Practice Address - Country:US
Practice Address - Phone:405-217-4547
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-29
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK7548-P1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical