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1922298975
JACKIE L WILLIAMS
ARDMORE, OK
NPI
1922298975
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK 578)
Enumeration Date
2007-07-26
Last Update Date
2007-07-26
Business Address
Ms. JACKIE L WILLIAMS MS, LADC
2530 SOUTH COMMERCE
ARDMORE, OK 73401
Phone number: 580-223-5070
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Mailing Address
Ms. JACKIE L WILLIAMS MS, LADC
PO BOX 189
ARDMORE, OK 73402-0189
Phone number: 580-223-5070
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