Individual
JORDAN MICHAEL WESTBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
907 W CADDO ST, CLEVELAND, OK 74020-4201
(918) 308-5511
Mailing address
907 W CADDO ST, CLEVELAND, OK 74020-4201
(918) 308-5511
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6003
OK
Other
Enumeration date
11/27/2018
Last updated
08/27/2020
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