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Individual

REBECCA LEA DAMRON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
801 NW 50TH ST, OKLAHOMA CITY, OK 73118-6001
(405) 842-6638
Mailing address
801 NW 50TH ST, OKLAHOMA CITY, OK 73118-6001
(405) 842-6638

Taxonomy

Speciality
Code
Description
License number
State
101YS0200X
School Counselor
171M00000X
Case Manager/Care Coordinator
225C00000X
Rehabilitation Counselor
Primary

Other

Enumeration date
02/27/2012
Last updated
07/08/2014
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