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JACOB HISELEY, PRSS, LMSW, U/S

PRSS, LMSW, U/S

Social Worker

NPI: 1821583402Individual

Specialties, Licenses & Credentials

Social WorkerPrimary

Social Worker

Code: 104100000X

20902(OK)
Peer Specialist

Peer Specialist

Code: 175T00000X

130888(OK)

Contact & Hours

Address
1640 W KEETOOWAH ST
TAHLEQUAH, OK 74464

Quick Facts

NPI
1821583402
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
2
Locations
1

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