Individual
RAVEN DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2221 NW 13TH ST UNIT B, OKLAHOMA CITY, OK 73107-4903
(405) 934-2558
Mailing address
2221 NW 13TH ST UNIT B, OKLAHOMA CITY, OK 73107-4903
(405) 934-2558
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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