Individual
MRS. KATHY LAVONNE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6128 E 38TH ST, TULSA, OK 74135-5832
(918) 664-4224
(918) 663-0203
Mailing address
6128 E 38TH ST, TULSA, OK 74135-5832
(918) 664-4224
(918) 663-0203
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OK
Other
Enumeration date
02/14/2012
Last updated
01/20/2024
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