Individual
JESSICA BOOTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6111 E SKELLY DR, TULSA, OK 74135-6100
(539) 314-5959
Mailing address
6111 E SKELLY DR, TULSA, OK 74135-6100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
21868-P
OK
Other
Enumeration date
09/19/2025
Last updated
09/19/2025
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