Individual
MRS. MARY ELIZABETH JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4101 PERIMETER CENTER DR, SUITE 250, OKLAHOMA CITY, OK 73112-2302
(405) 751-0800
(405) 751-6488
Mailing address
4101 PERIMETER CENTER DR, SUITE 250, OKLAHOMA CITY, OK 73112-2302
(405) 751-0800
(405) 751-6488
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/29/2012
Last updated
10/08/2013
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