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1710157136
JIMMY L WIDDIFIELD
OKLAHOMA CITY, OK
NPI
1710157136
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2008-03-03
Last Update Date
2011-10-26
Business Address
-- JIMMY L WIDDIFIELD M.A., LPC
940 NE 13TH ST 4N 4900
OKLAHOMA CITY, OK 73104-5008
Phone number: 405-271-8858
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Mailing Address
-- JIMMY L WIDDIFIELD M.A., LPC
4645 W NICKLAS AVE APT. B
OKLAHOMA CITY, OK 73132-6933
Phone number: 405-412-1870
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