Individual
JERRI DAWN DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
608 HIGHWAY 271 N, ANTLERS, OK 74523-2055
(918) 373-1173
Mailing address
PO BOX 990, CLAYTON, OK 74536-0990
(918) 373-1173
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/09/2009
Last updated
11/09/2009
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