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Individual

DODIE JANE MCINTYRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
100 S. MONROE STE 5, ELK CITY, OK 73644
(580) 729-0422
Mailing address
3000 W MEMORIAL RD STE 123-457, OKLAHOMA CITY, OK 73120-6101
(580) 729-0422

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10295
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10295
BBHL
OK
Enumeration date
11/09/2020
Last updated
08/17/2025
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