Individual
MRS. JACQUELINE M THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASE MANAGER
Contact information
Practice address
5131 N CLASSEN BLVD, OKLAHOMA CITY, OK 73118-5258
(405) 767-1126
(405) 767-6285
Mailing address
5408 N STONEWALL DR, OKLAHOMA CITY, OK 73111-6656
(405) 427-6024
(405) 427-0015
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9603
CASE MANAGER
OK
Enumeration date
06/12/2007
Last updated
11/07/2023
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