Individual
DENISE ANN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
1003 N GRIFFIN AVE, OKMULGEE, OK 74447-2512
(918) 777-0625
Mailing address
1003 N GRIFFIN AVE, OKMULGEE, OK 74447-2512
(918) 777-0625
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
OK
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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