Individual
MRS. JULIE A. JACKSON-MORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
408 HUGHES DR, POTEAU, OK 74953-5469
(918) 931-9858
Mailing address
408 HUGHES DR, POTEAU, OK 74953-5469
(918) 931-9858
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2990
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2990
OBESPA
OK
Enumeration date
12/14/2009
Last updated
12/14/2009
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