Individual
CASSANDRA JACKSON-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11505 N 132ND EAST AVE, OWASSO, OK 74055-5933
(918) 313-3292
Mailing address
11505 N 132ND EAST AVE, OWASSO, OK 74055-5933
(918) 313-3292
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9144
OK
Other
Enumeration date
06/17/2013
Last updated
12/26/2024
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