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Individual

LAURA WADE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BA AND MASTERS

Contact information

Practice address
5555 S LEWIS AVE, TULSA, OK 74105-7104
(918) 779-4556
(918) 895-6917
Mailing address
5555 S LEWIS AVE, TULSA, OK 74105-7104
(918) 779-4556
(918) 895-6917

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
06/26/2013
Last updated
06/26/2013
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