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1831162502
TRACEY LEA JERNIGAN
OKLAHOMA CITY, OK
NPI
1831162502
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Former Name
TRACEY LEA PRICHARD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OK 1875)
Enumeration Date
2006-02-10
Last Update Date
2014-05-29
Business Address
-- TRACEY LEA JERNIGAN LCSW
6406 N SANTA FE AVE SUITE C
OKLAHOMA CITY, OK 73116-9111
Phone number: 405-840-2391
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Mailing Address
-- TRACEY LEA JERNIGAN LCSW
PO BOX 16337
OKLAHOMA CITY, OK 73113-2337
Phone number: 405-840-2391
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