Individual
MS. DEANNA CHARICE COLLINS X
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2808 NW 31ST ST, 2808 N.W. 31ST STREET, OKLAHOMA CITY, OK 73112-7407
(405) 848-7555
(405) 949-0929
Mailing address
2919 NW 32ND ST, OKLAHOMA CITY, OK 73112-6913
(405) 473-5946
(405) 949-0929
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/17/2015
Last updated
04/17/2015
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