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Individual

JACKIE MARIE VO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
3100 MEDICAL PKWY, CLAREMORE, OK 74017-1088
(539) 235-9203
Mailing address
3100 MEDICAL PKWY, CLAREMORE, OK 74017-1088

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7103
OK

Other

Enumeration date
07/14/2021
Last updated
07/14/2021
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