Individual
JEANENE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2808 N ROBINSON AVE, OKLAHOMA CITY, OK 73103-4121
(405) 508-4249
Mailing address
2808 N ROBINSON AVE, OKLAHOMA CITY, OK 73103-4121
(405) 508-4249
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/26/2014
Last updated
04/26/2014
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