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Organization
JEANIE DAVIS LSW INC
Active
Organization
JEANIE DAVIS LSW INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEANIE M DAVIS LCSW (PRESIDENT SOLE EMPLOYEE)
(405) 844-7888
Entity
Organization
Contact information
Practice address
1616 S STATE ST, EDMOND, OK 73013-3600
(405) 844-7888
(405) 844-8881
Mailing address
1616 S STATE ST, EDMOND, OK 73013-3600
(405) 844-7888
(405) 844-8881
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1379
OK
Other
Enumeration date
01/08/2008
Last updated
12/12/2011
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