EDWIN JEROME LOUIS

TULSA, OK
NPI1487353025
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2023-03-02
Last Update Date2023-07-13
Business Address
EDWIN JEROME LOUIS
5310 E. 31ST ST S
TULSA, OK 74135-0000
Phone number: 918-600-3100
Mailing Address
EDWIN JEROME LOUIS
5310 E. 31ST ST S
TULSA, OK 74135-0000
Phone number: 918-600-3100
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