Individual
JILLIAN DAWES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
540 ILLINOIS ST, PAWNEE, OK 74058-2036
(918) 762-1045
(918) 762-2214
Mailing address
3700 W 19TH AVE, APT K2, STILLWATER, OK 74074-1660
(918) 348-1450
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/06/2013
Last updated
05/06/2013
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