Jackson Paden, MSW Valid NPI
Individual provider · Clinical Social Worker · Edmond, OK
- NPI
- 1710726815
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 20909 (OK)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2024-05-20
- Last updated
- 2024-05-20
Practice location
1700 S Boulevard Ste B
Edmond, OK 73013-5174
(405) 215-9151