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Individual

DEBORAH L NEWSOME

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, LPC

Contact information

Practice address
108 N 2ND ST, PONCA CITY, OK 74601-4320
(580) 765-6579
(580) 765-9585
Mailing address
108 N 2ND ST, PONCA CITY, OK 74601-4320
(580) 765-6579
(580) 765-9585

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3055
OK

Other

Enumeration date
07/27/2007
Last updated
07/27/2007
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