Individual
JANICE L BIRDSONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
4911 N PORTLAND AVE STE 111, OKLAHOMA CITY, OK 73112-6170
(405) 605-3093
(405) 601-5682
Mailing address
PO BOX 407, MIAMI, OK 74354
(405) 605-3093
(405) 601-5628
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4292
OK
Other
Enumeration date
05/19/2008
Last updated
01/18/2013
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