Individual
ERIN JILL WAMBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2725 EAST SKELLY DRIVE, TULSA, OK 74105
(918) 592-1622
Mailing address
2725 E SKELLY DR, TULSA, OK 74105-6241
(918) 592-1622
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/21/2007
Last updated
04/29/2011
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