Organization
DORIS JANE CHEDIAK,M.S.W., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DORIS JANE CHEDIAK M.S.W. (PRESIDENT)
(405) 843-3800
Entity
Organization
Contact information
Practice address
3037 NW 63RD ST, SUITE 100W, OKLAHOMA CITY, OK 73116-3637
(405) 843-3800
Mailing address
3037 NW 63RD ST, SUITE 100W, OKLAHOMA CITY, OK 73116-3637
(405) 843-3800
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
183
OK
Other
Enumeration date
11/22/2009
Last updated
11/22/2009
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