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1861630600
JESSICA RAE NGOTNGAMWONG
TULSA, OK
NPI
1861630600
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OK 4891)
Enumeration Date
2009-02-02
Last Update Date
2021-07-28
Business Address
JESSICA RAE NGOTNGAMWONG LCSW
7935 E 57TH ST
TULSA, OK 74145
Phone number: 918-268-6379
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Mailing Address
JESSICA RAE NGOTNGAMWONG LCSW
6216 S LEWIS AVE STE 180
TULSA, OK 74136-1077
Phone number: 918-960-7852
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