Organization
JANIE TUBB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA J PARRISH (OFFICE MANAGER)
(405) 601-0954
Entity
Organization
Contact information
Practice address
3601 N CLASSEN BLVD, SUIT 101, OKLAHOMA CITY, OK 73118-3231
(405) 528-5263
(405) 601-3750
Mailing address
3601 N CLASSEN BLVD, SUIT 101, OKLAHOMA CITY, OK 73118-3231
(405) 528-5263
(405) 601-3750
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW 1522
OK
Other
Enumeration date
12/01/2011
Last updated
01/11/2012
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