Individual
JENNIFER DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2816 E JACKSON ST, HUGO, OK 74743-4250
(580) 743-5049
Mailing address
PO BOX 177, HUGO, OK 74743-0177
(580) 743-5049
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/14/2008
Last updated
07/08/2014
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