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1457539975
JEREMY PAUL ELLEDGE
NORMAN, OK
NPI
1457539975
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OK 4410)
Enumeration Date
2008-02-06
Last Update Date
2024-01-19
Business Address
JEREMY PAUL ELLEDGE LCSW
1120 E MAIN ST
NORMAN, OK 73071-5300
Phone number: 405-360-5100
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Mailing Address
JEREMY PAUL ELLEDGE LCSW
2101 MEMPHIS DR
NORMAN, OK 73071-2013
Phone number: 405-642-9369
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