Individual
MRS. FRANKIE DESHAWNE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
6202 S LEWIS AVE, SUITE J, TULSA, OK 74136-1099
(918) 584-4549
Mailing address
650 S PEORIA AVE, TULSA, OK 74120-4429
(918) 587-9471
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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