Kacie Lee Jackson

NPI #1548742224 in Enid, Oklahoma

Provider Information

NPI Number
1548742224
Entity Type
Individual
Name
Kacie Lee Jackson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Aug 30, 2018
Last Updated
Aug 30, 2018

Practice Location

Address
312 N VAN BUREN ST
City
Enid
ZIP Code
73703-4500
Phone
(888) 573-7792

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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