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Individual

JAMIE L EVERETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4045 NW 64TH ST, SUITE 520, OKLAHOMA CITY, OK 73116-1684
(405) 842-4911
Mailing address
1601 W 2ND ST, ELK CITY, OK 73644-4427
(580) 225-2700
(580) 225-2701

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3159
OK

Other

Enumeration date
05/14/2007
Last updated
01/03/2019
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