Provider Demographics
NPI:1568758803
Name:JONES, MARLA JEAN (BSW)
Entity Type:Individual
Prefix:
First Name:MARLA
Middle Name:JEAN
Last Name:JONES
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106393 S 4720 RD
Mailing Address - Street 2:
Mailing Address - City:MULDROW
Mailing Address - State:OK
Mailing Address - Zip Code:74948-7236
Mailing Address - Country:US
Mailing Address - Phone:405-308-7754
Mailing Address - Fax:
Practice Address - Street 1:106393 S 4720 RD
Practice Address - Street 2:
Practice Address - City:MULDROW
Practice Address - State:OK
Practice Address - Zip Code:74948-7236
Practice Address - Country:US
Practice Address - Phone:405-308-7754
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-24
Last Update Date:2011-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor