Individual
ELIZABETH CHEVON JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4103 S YALE AVE STE B, TULSA, OK 74135-6002
(918) 687-7064
Mailing address
2410 ARLINE ST, MUSKOGEE, OK 74401-5539
(405) 697-8133
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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