Individual
MS. JODY LYNN DALLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
TENKILLER BEHAVIORAL SERVICES, 27753 S. WELLING RD, WELLING, OK 74464
(918) 708-5357
Mailing address
14204 N 480 RD, TAHLEQUAH, OK 74464-0338
(918) 708-5357
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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