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Individual

MR. JARED F MAXWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
921 NE 14TH ST., OKLAHOMA CITY, OK 73107-6437
(405) 213-4678
(405) 606-8488
Mailing address
921 NE 14TH ST., OKLAHOMA CITY, OK 73104
(405) 213-4678
(405) 606-8488

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
1041C0700X
Clinical Social Worker
Primary
6283
OK

Other

Enumeration date
11/08/2010
Last updated
11/26/2024
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