Individual
JESSICA MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7170 S BRADEN AVE STE 195, TULSA, OK 74136-6324
(918) 280-0090
(918) 561-6764
Mailing address
7170 S BRADEN AVE STE 195, TULSA, OK 74136-6324
(918) 280-0090
(918) 561-6764
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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