Individual
MRS. JAMIE DAWN WITTROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CF-SLP
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1992
(918) 494-2200
Mailing address
1436 E 37TH PL, TULSA, OK 74105-3212
(918) 859-9550
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
CF457
OK
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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