Individual
JENNIFER NICOLE CODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
2102 N BROADWAY AVE, ADA, OK 74820-1048
(580) 453-1835
Mailing address
2102 N BROADWAY AVE, ADA, OK 74820-1048
(580) 453-1835
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7861
OK
Other
Enumeration date
07/14/2014
Last updated
04/09/2021
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