Individual
MS. JENNIFER ANNE REGESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1129 S ASPEN AVE, BROKEN ARROW, OK 74012-4859
(918) 764-9300
(918) 764-9275
Mailing address
1129 S ASPEN AVE, BROKEN ARROW, OK 74012-4859
(918) 764-9300
(918) 764-9275
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4832
OK
Other
Enumeration date
09/05/2012
Last updated
04/08/2016
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