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Individual
MR. JACOB AUSTIN SLAGLE
Active
Individual
MR. JACOB AUSTIN SLAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSBS
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
—
OK
106H00000X
Marriage & Family Therapist
Primary
—
OK
171M00000X
Case Manager/Care Coordinator
—
NULL
Other
Enumeration date
02/25/2012
Last updated
08/08/2024
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