Individual
MRS. NANCY S JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
8905 NW 115TH ST, OKLAHOMA CITY, OK 73162-2207
(405) 722-2352
Mailing address
8905 NW 115TH ST, OKLAHOMA CITY, OK 73162-2207
(405) 722-2352
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/15/2011
Last updated
06/02/2011
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