Individual
MRS. AJA BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11428 E 20TH ST, TULSA, OK 74128-6451
(918) 878-7877
Mailing address
1005 W QUEEN PL, TULSA, OK 74127-2521
(918) 720-9109
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
200442010A
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200287120A
—
OK
Enumeration date
03/19/2013
Last updated
03/19/2013
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