Individual
JILL ENEVOLDSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8220 GOLDEN OAKS RD, OKLAHOMA CITY, OK 73127-3039
(405) 204-8919
Mailing address
2401 NW 23RD ST STE 101, OKLAHOMA CITY, OK 73107-2431
(405) 595-9600
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4496
OK
Other
Enumeration date
06/23/2016
Last updated
03/11/2020
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