Individual
ANDRALI R JEWETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
737 NE 14TH ST, OKLAHOMA CITY, OK 73104-4622
(405) 209-2081
Mailing address
737 NE 14TH ST, OKLAHOMA CITY, OK 73104-4622
(405) 209-2081
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/01/2011
Last updated
09/12/2012
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