Pamela Sue Jennings

NPI #1649547779 in Wagoner, Oklahoma

Provider Information

NPI Number: 1649547779
Entity Type: Individual
Name: Pamela Sue Jennings
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Nov 17, 2011
Last Updated: Nov 17, 2011

Practice Location

Address: 109 S HARRILL AVE
City: Wagoner
State: Oklahoma
ZIP Code: 74467-5317
Phone: (918) 485-3554

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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