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Individual

MR. JEFFERY CLINT MACKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
320 12TH AVE NE, NORMAN, OK 73071-5238
(405) 573-3842
Mailing address
320 12TH AVE NE, NORMAN, OK 73071-5238
(405) 573-3842

Taxonomy

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

Other

Enumeration date
08/29/2012
Last updated
06/24/2019
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