Individual
SIARA JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7477 E 46TH PL, TULSA, OK 74145-6305
(918) 384-0002
Mailing address
3125 S TOLEDO AVE, TULSA, OK 74135-1722
(918) 770-1048
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OK
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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