Individual
MR. JEFFERY WADE CHACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
305 S 5TH ST, ENID, OK 73701-5832
(580) 548-5081
(580) 249-5536
Mailing address
305 S 5TH ST, ENID, OK 73701-5832
(580) 548-5081
(580) 249-5536
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1698
OK
Other
Enumeration date
11/29/2007
Last updated
11/29/2007
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