Individual
JENIFER SLOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHR-CM
Contact information
Practice address
2029 S. GORDON COOPER DR., SHAWNEE, OK 74801
(405) 878-4716
(405) 878-4708
Mailing address
2029 S. GORDON COOPER DRIVE, SHAWNEE, OK 74801
(405) 878-4702
(405) 878-4540
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CM21760
OK
Other
Enumeration date
12/28/2010
Last updated
12/28/2010
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