Individual
THEA DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
214 E OAK AVE, SEMINOLE, OK 74868-3442
(405) 382-1112
Mailing address
PO BOX 1, SAINT LOUIS, OK 74866-0001
(405) 534-7633
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/13/2015
Last updated
03/15/2016
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