Individual
DETRA MOBLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13101 S PENN AVE, SUITE 9, OKLAHOMA CITY, OK 73170-4900
(405) 809-3542
(405) 809-3552
Mailing address
3975 OAK VALLEY DR, GUTHRIE, OK 73044-8213
(405) 282-2176
(405) 809-3552
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OK
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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