Individual
MS. DEANA LAVERNE PILGRIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LPC
Contact information
Practice address
106 S 3RD ST, MCALESTER, OK 74501-5300
(918) 421-8880
(918) 421-8929
Mailing address
106 S 3RD ST, MCALESTER, OK 74501-5300
(918) 421-8880
(918) 421-8929
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200380750A
—
OK
05
—
200380750B
—
OK
Enumeration date
01/28/2010
Last updated
11/07/2023
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