LATRICE VERNICE JACKSON

SHAWNEE, OK
NPI1275800997
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2011-11-23
Last Update Date2016-01-21
Business Address
-- LATRICE VERNICE JACKSON
1415 E 10TH ST 2425 LENORE ST.
SHAWNEE, OK 74801-7801
Phone number: 405-382-7623
Mailing Address
-- LATRICE VERNICE JACKSON
1415 E 10TH ST 2425 LENORE ST.
SHAWNEE, OK 74801-7801
Phone number: 405-382-7623
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