Individual
JESSICA SHOLLMIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3703 W 104TH ST S, JENKS, OK 74037-1927
(918) 408-3200
Mailing address
3703 W 104TH ST S, JENKS, OK 74037-1927
(918) 408-3200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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