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Deia Marie Green
Peer Specialist in Pauls Valley, Oklahoma
NPI 1790358711

Deia Marie Green is a Peer Specialist based in Pauls Valley, OK. Deia Marie Green practices in Pauls Valley, OK. The NPI Number for Deia Marie Green is 1790358711 and holds a License No. (Oklahoma).

The current practice location address for Deia Marie Green is 109 S Willow St, Pauls Valley, OK and can be reached out via phone at 405-238-7311.

Location: 109 S Willow St, Pauls Valley, OK, 73075-0635
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790358711
Provider Name
Deia Marie Green
Credential
Provider Entity Type
Individual
Gender
Female
Address
109 S Willow St, Pauls Valley, OK, 73075-0635
Phone Number
405-238-7311
Fax Number
Provider Enumeration Date
07/19/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
109 S Willow St
City
Pauls Valley
State
Oklahoma
Zip
73075-3833
Phone Number
405-238-7311
Fax Number
person
Provider Business Mailing Address Details
Address
109 S Willow St
City
Pauls Valley
State
Oklahoma
Zip
73075-3833
Phone Number
405-238-7311
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
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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