Individual
MRS. JERRI LYNN MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1101 HONOR HEIGHTS DR, JACK C. MONTGOMERY VA MEDICAL CENTER, MUSKOGEE, OK 74401-1302
(918) 577-3225
(918) 756-3876
Mailing address
15795 OLD MORRIS HWY, OKMULGEE, OK 74447-8520
(917) 756-5405
(918) 577-3876
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2241
OK
Other
Enumeration date
04/20/2009
Last updated
04/20/2009
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