Individual
DEBRA SUE VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2617 GENRAL PERSHING BLVD, OKLAHOMA CITY, OK 73107
(405) 471-1043
Mailing address
PO BOX 12978, OKLAHOMA CITY, OK 73157-2978
(405) 471-1043
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5888
OK
Other
Enumeration date
05/29/2013
Last updated
11/13/2019
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