MRS. Ella Jefferson-Speed

NPI #1275164113 in Midwest City, Oklahoma

Provider Information

NPI Number: 1275164113
Entity Type: Individual
Name: MRS. Ella Jefferson-Speed
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Jan 29, 2020
Last Updated: Jan 29, 2020

Practice Location

Address: 3612 OAK GROVE DR
City: Midwest City
State: Oklahoma
ZIP Code: 73110-3728
Phone: (405) 863-5578

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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