Provider Demographics
NPI:1104912716
Name:ALLTIZER, FRANCIS KAY (LCSW)
Entity type:Individual
Prefix:MS
First Name:FRANCIS
Middle Name:KAY
Last Name:ALLTIZER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:FRANCIS
Other - Middle Name:KAY
Other - Last Name:ALLTIZER-JOINER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:4714 NW MOTIF MANOR BLVD
Mailing Address - Street 2:APT. B
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73505
Mailing Address - Country:US
Mailing Address - Phone:580-284-4775
Mailing Address - Fax:
Practice Address - Street 1:4700 MOW WAY ROAD
Practice Address - Street 2:
Practice Address - City:FT. SILL
Practice Address - State:OK
Practice Address - Zip Code:73503
Practice Address - Country:US
Practice Address - Phone:580-458-3600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK24011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical