Individual
MRS. JERICA DIONNE WORTHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8552 E 33RD ST, TULSA, OK 74145-1515
(918) 231-0684
Mailing address
8552 E 33RD ST, TULSA, OK 74145-1515
(918) 619-2295
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
OK
Other
Enumeration date
10/23/2025
Last updated
10/23/2025
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