Individual
JAYCIF A JUSTICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
216 W 'A' ST., WATONGA, OK 73772
(580) 323-6021
Mailing address
216 W 'A' ST., WATONGA, OK 73772
(580) 323-6021
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/06/2007
Last updated
09/06/2007
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