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Individual

DESIREE JACOBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
301 KATIE MICHELLE BLVD, EDMOND, OK 73034-8271
(405) 920-2263
Mailing address
301 KATIE MICHELLE BLVD, EDMOND, OK 73034-8271
(405) 920-2263

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
20910
OK

Other

Enumeration date
06/21/2020
Last updated
02/13/2025
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