Individual
SYDNIE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4130 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5209
(405) 424-7711
Mailing address
3108 SOMERSET PL, OKLAHOMA CITY, OK 73116-3012
(918) 851-8204
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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