DEMETRA SHAN JACKSON

OKLAHOMA CITY, OK
NPI1619228095
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2012-09-26
Last Update Date2012-09-26
Business Address
-- DEMETRA SHAN JACKSON B.S.
1116 SW 59TH ST APT 1
OKLAHOMA CITY, OK 73109-4908
Phone number: 405-618-9411
Mailing Address
-- DEMETRA SHAN JACKSON B.S.
1116 SW 59TH ST APT 1
OKLAHOMA CITY, OK 73109-4908
Phone number: 405-618-9411
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