Individual
DEITRA ANN WOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
10920 NE 52ND ST, SPENCER, OK 73084-5217
(405) 628-8243
Mailing address
10920 NE 52ND ST, SPENCER, OK 73084-5217
(405) 882-3231
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/16/2012
Last updated
01/07/2013
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