Individual
SARAH WOLF TEDDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
624 W INDEPENDENCE ST STE 105, SHAWNEE, OK 74804-4329
(405) 279-9416
Mailing address
15500 JEFFERSONS GARDEN CT, EDMOND, OK 73013-1410
(405) 330-8200
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6546
OK
Other
Enumeration date
03/02/2016
Last updated
11/05/2025
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