Individual
DESIRAE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3621 N KELLEY AVE STE 100, OKLAHOMA CITY, OK 73111-4520
(405) 524-5528
Mailing address
9339 APPLE DR, MIDWEST CITY, OK 73130-7183
(405) 249-3695
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OK
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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