MRS. Cicely Charlson

NPI #1386961092 in Jenks, Oklahoma

Provider Information

NPI Number: 1386961092
Entity Type: Individual
Name: MRS. Cicely Charlson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Apr 21, 2010
Last Updated: Apr 21, 2010

Practice Location

Address: 1021 W 117TH ST S
City: Jenks
State: Oklahoma
ZIP Code: 74037-5025
Phone: (918) 360-9841

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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