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Individual

FRANCIS PAUL JETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
SOCIAL WORKER

Contact information

Practice address
4301 WILSON STREET, RAHC SUDCC, FORT SILL, OK 73503-6300
(580) 558-8432
(580) 442-7950
Mailing address
1134 NW MAPLE AVE, LAWTON, OK 73507-4609
(580) 678-1070
(580) 442-7950

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
B21394
IN
1041C0700X
Clinical Social Worker
Primary
2469
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1417900341
US ARMY
Enumeration date
05/19/2006
Last updated
07/21/2022
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