Individual
LEWIS JERMONE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3211 E 32ND ST N, TULSA, OK 74110-1604
(539) 525-0655
Mailing address
3211 E 32ND ST N, TULSA, OK 74110-1604
(539) 525-0655
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OK
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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