Individual
JERRI L BOATNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16820 STATE HIGHWAY 9 E, EUFAULA, OK 74432-5220
(918) 452-3335
(918) 452-3939
Mailing address
615 W WASHINGTON ST, TECUMSEH, OK 74873-2832
(405) 432-3115
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9212
OK
Other
Enumeration date
05/11/2012
Last updated
12/08/2025
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