Provider Demographics
NPI:1730406299
Name:SAWYER, JAMIE ANNETTE
Entity type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:ANNETTE
Last Name:SAWYER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 S 68TH ST
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74014-6961
Mailing Address - Country:US
Mailing Address - Phone:918-639-0023
Mailing Address - Fax:
Practice Address - Street 1:203 S 68TH ST
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74014-6961
Practice Address - Country:US
Practice Address - Phone:918-639-0023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-23
Last Update Date:2010-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional