Individual
JILLIAN LEE TREADWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW-US
Contact information
Practice address
301 W I 240 SERVICE RD, OKLAHOMA CITY, OK 73139-7701
(405) 635-3830
Mailing address
301 W I 240 SERVICE RD, OKLAHOMA CITY, OK 73139-7701
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/29/2012
Last updated
05/02/2013
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