Individual
TRACEY WESSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5525 E 51ST ST, SUITE 400, TULSA, OK 74135-7461
(918) 388-6457
(918) 388-6456
Mailing address
5525 E 51ST ST, SUITE 400, TULSA, OK 74135-7461
(918) 388-6457
(918) 388-6456
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100746170G
—
OK
Enumeration date
09/23/2009
Last updated
09/23/2009
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