Individual
SOPHIA EMMA THUNDU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
4122 W 55TH PL, SUITE 119, TULSA, OK 74107-9108
(918) 486-9996
(800) 260-7966
Mailing address
PO BOX 702504, TULSA, OK 74170-2504
(918) 486-9996
(800) 260-7966
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
CANDIDATE
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NEW ENROLLMENT
—
OK
Enumeration date
05/13/2013
Last updated
07/07/2014
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