Individual
JOELLE SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4436 NW 50TH ST, OKLAHOMA CITY, OK 73112-2212
(405) 204-9908
Mailing address
4436 NW 50TH ST, OKLAHOMA CITY, OK 73112-2212
(405) 204-9908
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/07/2010
Last updated
06/07/2010
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