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1992045603
KONNIE WENTWORTH
TULSA, OK
NPI
1992045603
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-02-18
Last Update Date
2013-02-18
Business Address
-- KONNIE WENTWORTH
6301 E 41ST ST
TULSA, OK 74135-6103
Phone number: 918-289-0550
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Mailing Address
-- KONNIE WENTWORTH
6301 E 41ST ST
TULSA, OK 74135-6103
Phone number: 918-289-0550
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