| Doctor Name: | MS. TAMRA SNELSON |
| NPI Number: | 1164845426 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 504 W Broadway St Henryetta, OK - 744375214 |
| Business Phone Number: | 9186509500 |
| Business Fax Number: | |
| Mailing Address: | 504 W Broadway St, HENRYETTA |
| State: | OK |
| Postal Code: | 744375214 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/22/2014 |
| NPI Last Update Date: | 02/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041S0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |