Individual
WENDY RIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2140 S HARVARD AVE, TULSA, OK 74114-1960
(918) 747-6377
Mailing address
2140 S HARVARD AVE, TULSA, OK 74114-1960
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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