Individual
MR. JESSE WAYNE STAPLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
337 S MAIN ST, JAY, OK 74346-3801
(918) 253-4539
Mailing address
PO BOX 1194, JAY, OK 74346-1194
(918) 253-4539
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7735
OK
Other
Enumeration date
08/19/2016
Last updated
01/13/2024
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