Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 4924 | OK |
NPI | 1003130790 |
---|---|
Provider Name | Ms. Joanna Marie Schmidt |
First Address | Norman, OK 73072-4542 |
Second Address | Norman, OK 73071-5229 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2010 |
Last Update Date | 20/10/2015 |