Provider Demographics
NPI:1326509654
Name:HARJO, PATRICIA JUNE (BSW)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:JUNE
Last Name:HARJO
Suffix:
Gender:F
Credentials:BSW
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Other - Credentials:
Mailing Address - Street 1:CHICKASAW NATION DFS RESOURCE MANAGEMENT
Mailing Address - Street 2:1300 HOPPE BLVD., SUITE 1.
Mailing Address - City:ADA
Mailing Address - State:OK
Mailing Address - Zip Code:74820
Mailing Address - Country:US
Mailing Address - Phone:580-436-7211
Mailing Address - Fax:580-272-5757
Practice Address - Street 1:NITTAK HIMITTA' WOMEN'S AND CHILDREN'S RECOVERY CENTER
Practice Address - Street 2:2024 TE ATA DRIVE
Practice Address - City:ADA
Practice Address - State:OK
Practice Address - Zip Code:74820
Practice Address - Country:US
Practice Address - Phone:580-235-0554
Practice Address - Fax:580-272-1097
Is Sole Proprietor?:No
Enumeration Date:2019-03-28
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator