Individual
JESSICA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
6161 S 33RD WEST AVE STE 105, TULSA, OK 74132-1502
(918) 698-5561
(918) 398-7983
Mailing address
6161 S 33RD WEST AVE STE 105, TULSA, OK 74132-1502
(918) 698-5561
(918) 398-7983
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3470
OK
Other
Enumeration date
01/23/2009
Last updated
04/24/2012
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