Individual
MRS. PAULA JEAN TITSWORTH DECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2803 N BROADWAY ST, POTEAU, OK 74953-5542
(918) 647-2175
Mailing address
21345 JOB RD, HOWE, OK 74940-7125
(918) 413-1866
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
Other
Enumeration date
07/26/2013
Last updated
07/26/2013
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