Individual
JENNIFER LEIGH BIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
370 ESSARY AVE, TAHLEQUAH, OK 74464-3453
(918) 506-7307
Mailing address
370 ESSARY AVE, TAHLEQUAH, OK 74464-3453
(918) 506-7307
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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