Individual
JENNIFER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
302 E MAIN ST, ANTLERS, OK 74523-3258
(580) 298-2295
Mailing address
PO BOX 461, ANTLERS, OK 74523-0461
(580) 298-2295
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/18/2007
Last updated
11/25/2008
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