Individual
MR. FIREWOLF THOMPSON JEFFRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASTER DEGREE IN S.W
Contact information
Practice address
9955 W 160TH ST N, SKIATOOK, OK 74070-6227
(918) 549-1013
Mailing address
9955 W 160TH ST N, SKIATOOK, OK 74070-6227
(918) 549-1013
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
OK
Other
Enumeration date
05/18/2010
Last updated
02/03/2017
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