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Individual

JENIFER LORRAINE WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
3604 N CINCINNATI AVE, TULSA, OK 74106-1536
(918) 425-4200
Mailing address
1401 E 17TH PL, APT.. 2, TULSA, OK 74120-7014
(918) 425-4200

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
11/16/2009
Last updated
08/09/2011
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