Individual
JESSICA MCCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1728 S CARSON AVE, TULSA, OK 74119-4610
(918) 406-3420
Mailing address
13774 W 834 RD, TAHLEQUAH, OK 74464-1511
(918) 837-1813
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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