| Paulette Jobe Lcsw | |
|
5480 Main Street Suite 104 Del City OK 73115-9998 | |
| (405) 772-7440 | |
| (405) 601-7796 |
| Full Name | Paulette Jobe Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5480 Main Street, Del City, Oklahoma |
| Authorized Official Name and Position | Daeton Paulette Jobe (SOLE MEMBER) |
| Authorized Official Contact | 4057727440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paulette Jobe Lcsw 5480 Main Street Suite 104 Del City OK 73115-9998 Ph: (405) 772-7440 | Paulette Jobe Lcsw 5480 Main Street Suite 104 Del City OK 73115-9998 Ph: (405) 772-7440 |
| NPI Number | 1215328026 |
|---|---|
| Provider Enumeration Date | 02/16/2015 |
| Last Update Date | 02/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215328026 | NPI | - | NPPES |
| 200360040B | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 3944 (Oklahoma) | Primary |
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