Individual
JACLYN SPOMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3404 NW 178TH ST STE B, EDMOND, OK 73012-9150
(405) 517-7387
Mailing address
3404 NW 178TH ST STE B, EDMOND, OK 73012-9150
(405) 517-7387
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
OK
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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