Individual
JEFFREY WADSWORTH HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1115 HARBOR RD, GROVE, OK 74344-3505
(918) 786-4434
Mailing address
14400 S 622 RD, FAIRLAND, OK 74343-1973
(918) 919-1682
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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