Individual
JACQUELINE L KLUEMPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6655 S YALE AVE, LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL, TULSA, OK 74136-3326
(918) 481-4000
(918) 491-5740
Mailing address
PO BOX 21228, DEPARTMENT 31, TULSA, OK 74121-1228
(918) 481-4000
(918) 491-5740
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1448
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2090275
CIGNA BEHAVIORAL HEALTH
—
01
—
731308273 - 005
BLUE CROSS B SHIELD OF OK
OK
Enumeration date
03/17/2006
Last updated
01/31/2017
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