Individual
JILLIAN SHOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24797 S HWY 66 UNIT 5, CLAREMORE, OK 74019-2402
(918) 902-4640
Mailing address
1804 E 63RD ST, TULSA, OK 74136-0821
(918) 902-4640
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/15/2012
Last updated
01/15/2012
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