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NPI Code Detail

MEDICARE: DAETON PAULETTE JOBE LCSW

MEDICARE: DAETON PAULETTE JOBE LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker3944OK

General Provider Information

NPI Number : 1831400118
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAETON PAULETTE JOBE LCSW
Provider Business Mailing Address
First Line : 5480 MAIN ST.
Second Line : SUITE 104
City : DEL CITY
State : OK
Zip : 73115-6004
Country : US
Telephone Number : 405-722-7440
Fax Number : 405-601-7796
Provider Business Practice Location Address
First Line : 316 S MIDWEST BLVD
Second Line :
City : MIDWEST CITY
State : OK
Zip : 73110-4642
Country : US
Telephone Number : 405-733-5437
Fax Number : 405-732-7741
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2010
Last Update Date : 10/06/2025

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Directions to “ DAETON PAULETTE JOBE LCSW” Practice Location

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