Individual
JESSICA PEARCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASE MANAGER
Contact information
Practice address
2530 S COMMERCE ST, ARDMORE, OK 73401-5519
(580) 319-7305
(580) 319-7328
Mailing address
47172 E COUNTY ROAD 1560, STRATFORD, OK 74872-6722
(405) 655-0736
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100728830
—
OK
Enumeration date
08/30/2017
Last updated
08/30/2017
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