Individual
MARY DEGAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5050 WILLIAMS AVE, WOODWARD, OK 73801-7713
(580) 256-9700
(580) 256-9704
Mailing address
1222 10TH ST, SUITE 211, WOODWARD, OK 73801-3156
(580) 256-9700
(580) 256-9704
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LPC 2838
OK
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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