Jennifer Bantle, LCSW

NPI #1932826781 in Moore, Oklahoma

Provider Information

NPI Number
1932826781
Entity Type
Individual
Name
Jennifer Bantle, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Oct 24, 2022
Last Updated
Oct 24, 2022

Practice Location

Address
909 BRONZE MEDAL RD
City
Moore
ZIP Code
73160-7971
Phone
(405) 590-6397

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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