Individual
JEREMY WENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
316 S MIDWEST BLVD, MIDWEST CITY, OK 73110-4642
(405) 733-5437
Mailing address
316 S MIDWEST BLVD, MIDWEST CITY, OK 73110-4642
(405) 733-5437
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3079
OK
Other
Enumeration date
04/28/2010
Last updated
04/28/2010
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