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Individual

DEBRA ANNE BEASLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1619 E. 13TH ST., TULSA, OK 74120
(918) 588-8888
Mailing address
1620 E 12TH ST, TULSA, OK 74120-5407
(918) 582-2131
(918) 588-8822

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1398
OK

Other

Enumeration date
06/01/2018
Last updated
06/01/2018
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