Individual
MRS. JODI LYNN KINCANON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1404 CHISHOLM TRL, WEATHERFORD, OK 73096-2339
(580) 302-3423
(580) 774-5285
Mailing address
1404 CHISHOLM TRL, WEATHERFORD, OK 73096-2339
(580) 302-3423
(580) 774-5285
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/27/2010
Last updated
05/27/2010
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