Individual
MRS. JAMIE R PRISCO-RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1251 N BROADWAY, EDMOND, OK 73034-3616
(405) 341-3554
Mailing address
14900 N PENNSYLVANIA AVE APT 1632, OKLAHOMA CITY, OK 73134-5912
(580) 713-9353
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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