Individual
PAMELA JEAN FUNSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6202 S LEWIS AVE, SUITE J, TULSA, OK 74136-1099
(918) 584-4549
Mailing address
11605 S FIR CT, JENKS, OK 74037-5004
(918) 398-0938
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/06/2009
Last updated
01/15/2013
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