Individual
MARISSA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6216 S LEWIS AVE STE 180, TULSA, OK 74136-1077
(918) 960-7852
Mailing address
6216 S LEWIS AVE STE 180, TULSA, OK 74136-1077
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/29/2012
Last updated
05/29/2012
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