Individual
MRS. JENNIFER AVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1803 S WOOD DR, OKMULGEE, OK 74447-6825
(918) 756-1759
Mailing address
1803 S WOOD DR, OKMULGEE, OK 74447-6825
(918) 639-0334
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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