Individual
JENNY MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4444 E 31ST ST, TULSA, OK 74135-2131
(918) 749-1991
Mailing address
4444 E 31ST ST, TULSA, OK 74135-2131
(918) 749-1991
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7282
OK
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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