Individual
JAYDE ELAYNE AGBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 MEDICAL PKWY, CLAREMORE, OK 74017-1088
(918) 934-8235
Mailing address
3100 MEDICAL PKWY, CLAREMORE, OK 74017-1088
(918) 934-8235
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
21945
OK
Other
Enumeration date
07/09/2018
Last updated
01/12/2026
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