Individual
MRS. SARA JO SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6202 S LEWIS AVE STE H, TULSA, OK 74136-1064
(918) 899-7284
Mailing address
6202 S LEWIS AVE STE H, TULSA, OK 74136-1064
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/30/2011
Last updated
09/30/2011
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