Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor | OK |
NPI | 1083919690 |
---|---|
Provider Name | Jeanetta Wrice |
First Address | Oklahoma City, OK 73162-3534 |
Second Address | Oklahoma City, OK 73162-3534 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/01/2011 |
Last Update Date | 13/01/2011 |