Individual
DEANNA CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBP, RN
Contact information
Practice address
400 E WYANDOTTE AVE, MCALESTER, OK 74501-5464
(918) 420-5238
(918) 420-5717
Mailing address
400 E WYANDOTTE AVE, MCALESTER, OK 74501-5464
(918) 420-5238
(918) 420-5717
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0010
OK
163WP0808X
Psychiatric/Mental Health Registered Nurse
D8526344
OK
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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