Jack Smith

NPI #1669885687 in Moore, Oklahoma

Provider Information

NPI Number
1669885687
Entity Type
Individual
Name
Jack Smith
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Enumeration Date
Jun 6, 2014
Last Updated
Mar 2, 2023

Practice Location

Address
933 SW 3RD ST
City
Moore
ZIP Code
73160-2261
Phone
(405) 822-1424

Specialties & Taxonomy Codes

Specialty
Social Worker
Counselor - Mental HealthMental Health

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