Individual
RACHEL LYNN WIEDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3604 N CINCINNATI AVE, TULSA, OK 74106-1536
(918) 425-4200
Mailing address
650 S PEORIA AVE, TULSA, OK 74120-4429
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/11/2009
Last updated
08/11/2009
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