Individual
MR. JACK D NORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
6205 W GORE BLVD, LAWTON, OK 73505-5836
(580) 536-3900
(580) 357-8787
Mailing address
6205 W GORE BLVD, LAWTON, OK 73505-5836
(580) 536-3900
(580) 357-8787
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2313
OK
Other
Enumeration date
06/16/2006
Last updated
05/26/2009
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