SHAWN PIERRE JACKSON

TULSA, OK
NPI1316393796
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OK  1023172897)
Enumeration Date2016-05-04
Last Update Date2016-05-04
Business Address
-- SHAWN PIERRE JACKSON
3242 S LAKEWOOD AVE 2F
TULSA, OK 74135-4910
Phone number: 918-402-0749
Mailing Address
-- SHAWN PIERRE JACKSON
3242 S LAKEWOOD AVE 2F
TULSA, OK 74135-4910
Phone number: 918-402-0749
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