Individual
REJINA JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C-PRSS, BHWC
Contact information
Practice address
110 N 4TH ST, PONCA CITY, OK 74601-4527
(580) 749-5056
(580) 215-5765
Mailing address
110 N 4TH ST, PONCA CITY, OK 74601-4527
(580) 749-5056
(580) 215-5765
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/23/2017
Last updated
06/10/2019
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