Individual
JANA STACEY EMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1135 S YALE AVE, TULSA, OK 74112-5342
(918) 833-9815
Mailing address
1135 S YALE AVE, TULSA, OK 74112-5342
(918) 833-9815
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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