Individual
MRS. JIMMIE SUE BLOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
421 E THOMAS AVE, STILLWATER, OK 74075-2600
(405) 372-2202
(405) 445-3780
Mailing address
421 E THOMAS AVE, STILLWATER, OK 74075-2600
(405) 372-2202
(405) 445-3780
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/16/2009
Last updated
01/08/2018
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