Search › Oklahoma › 1041C0700X
Tracey Jennings, MSW, LCSW, LADC
NPI 1124346317 · on the registry since 2010 · sole proprietor
Practice
- Address
- 8937 S Garnett Rd
Broken Arrow, OK 74012 - Phone
- (918) 872-9777
- Fax
- (918) 872-9779
- Organisation at this address
- Genoa Healthcare Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 13
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YA0400X
1041C0700X - Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-07-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma