Individual
JACQUELINE SUE CHAMBLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10159 E 11TH ST, SUITE 100, TULSA, OK 74128-3058
(918) 835-5033
(918) 835-5760
Mailing address
10159 E. 11TH, SUITE 100, TULSA, OK 74128
(918) 835-5033
(918) 835-5760
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2718
OK
Other
Enumeration date
06/23/2006
Last updated
07/08/2007
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