Individual
MS. DEANNA BETH MOSLANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
110 S 5TH ST STE 200, YUKON, OK 73099-2658
(405) 212-7348
(405) 265-2553
Mailing address
110 S 5TH ST STE 200, YUKON, OK 73099-2658
(405) 212-7348
(405) 265-2553
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8209
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200488480B
—
OK
Enumeration date
12/19/2012
Last updated
04/24/2024
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