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Mrs. Alexis Dawn Green
Peer Specialist in Weatherford, Oklahoma
NPI 1588396584

Alexis Dawn Green is a Peer Specialist based in Weatherford, OK. Alexis Dawn Green practices in Weatherford, OK. The NPI Number for Alexis Dawn Green is 1588396584 and holds a License No. (Oklahoma).

The current practice location address for Alexis Dawn Green is 24135 E 1050 Rd, Weatherford, OK and can be reached out via phone at 580-302-4861.

Location: 24135 E 1050 Rd, Weatherford, OK, 73096-3106
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588396584
Provider Name
Alexis Dawn Green
Credential
Provider Entity Type
Individual
Gender
Female
Address
24135 E 1050 Rd, Weatherford, OK, 73096-3106
Phone Number
580-302-4861
Fax Number
Provider Enumeration Date
06/28/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
24135 E 1050 Rd
City
Weatherford
State
Oklahoma
Zip
73096-3106
Phone Number
580-302-4861
Fax Number
person
Provider Business Mailing Address Details
Address
24135 E 1050 Rd
City
Weatherford
State
Oklahoma
Zip
73096-3106
Phone Number
580-302-4861
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(Oklahoma)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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