Individual
MRS. JILL MARIE LONGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMFT CANDIDATE
Contact information
Practice address
10112 S COTTONWOOD RD, PERKINS, OK 74059-4403
(405) 714-3855
Mailing address
10112 S COTTONWOOD RD, PERKINS, OK 74059-4403
(405) 714-3855
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
OK
Other
Enumeration date
10/21/2009
Last updated
10/21/2009
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