Jennifer Nicole Standridge

NPI #1447699905 in Tishomingo, Oklahoma

Provider Information

NPI Number: 1447699905
Entity Type: Individual
Name: Jennifer Nicole Standridge
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jun 18, 2013
Last Updated: Jun 18, 2013

Practice Location

Address: 512 E 24TH ST
City: Tishomingo
State: Oklahoma
ZIP Code: 73460-3214
Phone: (580) 371-3672

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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