Organization
PAULETTE JOBE LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAETON PAULETTE JOBE LCSW (SOLE MEMBER)
(405) 772-7440
Entity
Organization
Contact information
Practice address
5480 MAIN STREET, SUITE 104, DEL CITY, OK 73115-9998
(405) 772-7440
(405) 601-7796
Mailing address
5480 MAIN STREET, SUITE 104, DEL CITY, OK 73115-9998
(405) 772-7440
(405) 601-7796
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3944
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200360040B
—
OK
Enumeration date
02/16/2015
Last updated
02/16/2015
Update your record
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