Individual
CASEY DELOZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
405 E EXCELSIOR, VINITA, OK 74301
(918) 256-6476
Mailing address
9800 S 4260 ROAD, CHELSEA, OK 74016
(918) 855-7340
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/24/2009
Last updated
03/24/2009
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