JESSICA RAE NGOTNGAMWONG

TULSA, OK
NPI1861630600
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OK  4891)
Enumeration Date2009-02-02
Last Update Date2021-07-28
Business Address
JESSICA RAE NGOTNGAMWONG LCSW
7935 E 57TH ST
TULSA, OK 74145
Phone number: 918-268-6379
Mailing Address
JESSICA RAE NGOTNGAMWONG LCSW
6216 S LEWIS AVE STE 180
TULSA, OK 74136-1077
Phone number: 918-960-7852