JENNIFER BANTLE

MOORE, OK
NPI1932826781
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OK  2587)
Enumeration Date2022-10-24
Last Update Date2022-10-24
Business Address
JENNIFER BANTLE LCSW
909 BRONZE MEDAL RD
MOORE, OK 73160-7971
Phone number: 405-590-6397
Mailing Address
JENNIFER BANTLE LCSW
909 BRONZE MEDAL RD
MOORE, OK 73160-7971
Phone number: 405-590-6397