JACK SMITH

MOORE, OK
NPI1669885687
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OK  LPC07653)
Additional Taxonomies104100000X Social Worker
Enumeration Date2014-06-06
Last Update Date2023-03-02
Business Address
JACK SMITH
933 SW 3RD ST
MOORE, OK 73160-2261
Phone number: 405-822-1424
Mailing Address
JACK SMITH
933 SW 3RD ST
MOORE, OK 73160-2261
Phone number: 405-822-1424
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