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1619133790
JEANICE L POLWORT
ENID, OK
NPI
1619133790
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OK 4412)
Enumeration Date
2008-07-29
Last Update Date
2010-09-20
Business Address
Mrs. JEANICE L POLWORT M.Ed, LPC
2112 E MAPLE AVE
ENID, OK 73701-4612
Phone number: 580-747-2289
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Mailing Address
Mrs. JEANICE L POLWORT M.Ed, LPC
2112 E MAPLE AVE
ENID, OK 73701-4612
Phone number: 580-747-2289
Copy
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