Individual
MRS. JADE M BENNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5101 SHADES BRIDGE RD, EDMOND, OK 73034-0854
(580) 583-4467
Mailing address
5101 SHADES BRIDGE RD, EDMOND, OK 73034-0854
(405) 974-2215
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/01/2011
Last updated
02/04/2020
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