Individual
VANESSA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
808 S PEORIA AVE, TULSA, OK 74120-4427
(918) 560-1333
Mailing address
808 S PEORIA AVE, TULSA, OK 74120-4427
(918) 560-1333
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/20/2022
Last updated
10/28/2022
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