Individual
JAE LINDSAY MARIE CHALONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LGC
Contact information
Practice address
4140 W MEMORIAL RD STE 321, OKLAHOMA CITY, OK 73120-8300
(405) 748-4726
(405) 607-8497
Mailing address
4140 W MEMORIAL RD STE 321, OKLAHOMA CITY, OK 73120-8300
(405) 748-4726
(405) 607-8497
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
18
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18
LICENSED GENETIC COUNSELOR - OK
OK
05
—
200212500A
—
OK
Enumeration date
09/15/2008
Last updated
01/10/2020
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