Individual
AMY ELIZABETH VENABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MDIV
Contact information
Practice address
3124 E APACHE ST, TULSA, OK 74110-2320
(918) 743-5763
Mailing address
3124 E APACHE ST, TULSA, OK 74110-2320
(918) 743-5763
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
OK
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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