Individual
LORI JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
207 S 11TH ST, MUSKOGEE, OK 74401-6818
(918) 348-6461
Mailing address
207 S 11TH ST, MUSKOGEE, OK 74401-6818
(918) 348-6461
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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