Individual
MS. JENA M JACOBS I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
303 E COURT ST, ATOKA, OK 74525-2047
(580) 889-4717
Mailing address
3175 OLD GOLDEN HWY, BROKEN BOW, OK 74728-6924
(580) 420-6931
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/27/2013
Last updated
06/27/2013
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