Individual
MS. JORDAN KAY SNOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23 E ROSS AVE, SAPULPA, OK 74066-6423
(918) 227-2016
Mailing address
1031 E 37TH PL, TULSA, OK 74105-3012
(918) 688-9368
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
100734620C
OK
Other
Enumeration date
01/02/2023
Last updated
01/02/2023
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