Individual
COLBY LYNN DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3404 NW 178TH ST, EDMOND, OK 73012-9150
(405) 413-7349
Mailing address
3404 NW 178TH ST, EDMOND, OK 73012-9150
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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