Individual
DEANNA GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11611 ELMHURST DR, MIDWEST CITY, OK 73130-8431
(405) 474-7708
Mailing address
11611 ELMHURST DR, MIDWEST CITY, OK 73130-8431
(405) 474-7708
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/12/2014
Last updated
06/12/2014
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