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Individual

CASSANDRA LEE CUMMINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MBS LPC

Contact information

Practice address
804 S BROADWAY ST, POTEAU, OK 74953-3834
(918) 647-9629
(918) 649-0136
Mailing address
804 S BROADWAY ST, POTEAU, OK 74953-3834
(918) 647-9629
(918) 649-0136

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3809
OK

Other

Enumeration date
06/08/2009
Last updated
11/01/2023
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