Individual
MISS JESSICA MARIE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
311 S MADISON AVE, TULSA, OK 74120-3208
(918) 582-0061
(918) 382-3434
Mailing address
8017 S WHEELING AVE, APT. O, TULSA, OK 74136-5230
(918) 382-4469
(918) 382-3434
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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