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1780095489
JANICE SMALL
TULSA, OK
NPI
1780095489
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: IL 178.003098)
Enumeration Date
2014-05-15
Last Update Date
2014-05-15
Business Address
JANICE SMALL
1139 S QUEBEC AVE
TULSA, OK 74112-5207
Phone number: 847-970-0309
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Mailing Address
JANICE SMALL
1139 S QUEBEC AVE
TULSA, OK 74112-5207
Phone number:
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