Individual
BILLY DEAN CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
203 E 12TH PL, CLAREMORE, OK 74017-4202
(918) 352-0633
Mailing address
203 E 12TH PL, CLAREMORE, OK 74017-4202
(918) 352-0633
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
MC-2014-7
OK
Other
Enumeration date
03/24/2023
Last updated
01/23/2024
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