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1790157394
JENNIFER LUCAS BRUSICH
TULSA, OK
NPI
1790157394
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: OK 1246)
Enumeration Date
2015-10-22
Last Update Date
2019-11-21
Business Address
JENNIFER LUCAS BRUSICH Psy.D.
5212 E 69TH PL
TULSA, OK 74136-3407
Phone number: 918-280-0101
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Mailing Address
JENNIFER LUCAS BRUSICH Psy.D.
5212 E 69TH PL
TULSA, OK 74136-3407
Phone number: 918-280-0101
Copy
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