Individual
MRS. JESSICA CORNELIUS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BS
Contact information
Practice address
4130 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5209
(405) 267-3246
Mailing address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5108
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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