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Individual

MRS. JUANITA M. CELIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
5700 ARNOLD ST, 72 MDG/SGOH, TINKER AFB, OK 73145-8105
(405) 734-4393
Mailing address
8325 TREELINE DR, CHOCTAW, OK 73020-4529
(405) 386-5183

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2449
LA
1041C0700X
Clinical Social Worker
Primary
3487
OK

Other

Enumeration date
08/22/2006
Last updated
12/17/2008
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