Individual
MRS. JACLYN IVY ROWLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2840 NW 183RD ST, EDMOND, OK 73012-7627
(405) 226-4187
Mailing address
2840 NW 183RD ST, EDMOND, OK 73012-7627
(405) 226-4187
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/02/2014
Last updated
01/02/2014
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