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Individual

JAMIE DAWN STEPHENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSCJ, CMII, BHWC

Contact information

Practice address
1222 10TH ST STE 211, WOODWARD, OK 73801-3156
(580) 766-2311
Mailing address
1095 NICKERSON ST, WAYNOKA, OK 73860-1252
(580) 824-0674
(580) 824-0676

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
07/28/2016
Last updated
01/15/2021
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