Individual
CHARLENE RENEE PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
4676 N BOSTON AVE, TULSA, OK 74126-3140
(918) 851-3568
Mailing address
4676 N BOSTON AVE, TULSA, OK 74126-3140
(918) 851-3568
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
N082172664
OK
Other
Enumeration date
05/03/2012
Last updated
05/03/2012
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