JORDAN SPOON

Peer Specialist

Active Individual
NPI: 1962255075

Practice Address

24962 OKAY RD
Tecumseh, OK 74873

Phone: (405) 253-2020

Specialties

Specialty Code Primary License
Peer Specialist 175T00000X Yes -

Frequently Asked Questions

NPI 1962255075 is the National Provider Identifier for JORDAN SPOON, a Peer Specialist provider located in Tecumseh, OK. This NPI was enumerated on April 9, 2024.
JORDAN SPOON practices at 24962 OKAY RD, Tecumseh, OK 74873.

Quick Facts

NPI
1962255075
Type
Individual
Enumerated
Apr 9, 2024
Last Updated
Apr 9, 2024

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