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Deidra Dewitt I
Mental Health Counselor in Antlers, Oklahoma
NPI 1124560610

Deidra Dewitt I is a Mental Health Counselor based in Antlers, OK and is specialized in Mental Health. Deidra Dewitt I practices in Antlers, OK. The NPI Number for Deidra Dewitt I is 1124560610 and holds a License No. (Oklahoma).

The current practice location address for Deidra Dewitt I is 107 S High St, Antlers, OK and can be reached out via phone at 580-298-2830.

Location: 107 S High St, Antlers, OK, 74523-3818
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124560610
Provider Name
Deidra Dewitt I
Credential
Provider Entity Type
Individual
Gender
Female
Address
107 S High St, Antlers, OK, 74523-3818
Phone Number
580-298-2830
Fax Number
Provider Enumeration Date
11/15/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100744370 05 OK
institution
Provider Business Practice Location Address Details
Address
107 S High St
City
Antlers
State
Oklahoma
Zip
74523-3818
Phone Number
580-298-2830
Fax Number
person
Provider Business Mailing Address Details
Address
107 S High St
City
Antlers
State
Oklahoma
Zip
74523-3818
Phone Number
580-298-2830
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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