Individual
MRS. DORIE MAE KLUSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9455 N OWASSO EXPY STE K, OWASSO, OK 74055-5442
(918) 636-5597
(918) 609-5162
Mailing address
18641 E 80TH ST N, OWASSO, OK 74055-8227
(918) 230-8256
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5294
OK
Other
Enumeration date
03/19/2021
Last updated
03/19/2021
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