Individual
ANELISSE DUQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
635 W 11TH ST, TULSA, OK 74127-9014
(918) 921-3200
(918) 560-1399
Mailing address
650 S PEORIA AVE, TULSA, OK 74120-4429
(918) 587-9471
(918) 560-1399
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/27/2014
Last updated
05/27/2014
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