Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker |
NPI | 1003018144 |
---|---|
Provider Name | Jolene M Morgan |
First Address | Tulsa, OK 74119-5234 |
Second Address | Tulsa, OK 74119-5234 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5JMM56 | 778-03STAFF (01) | OK |