GENIE JACKSON

WOODWARD, OK
NPI1770772444
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2007-10-18
Last Update Date2007-10-18
Business Address
-- GENIE JACKSON
1222 10TH ST STE 211
WOODWARD, OK 73801-3156
Phone number: 580-256-8615
Mailing Address
-- GENIE JACKSON
1222 10TH ST STE 211
WOODWARD, OK 73801-3156
Phone number: 580-256-8615
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