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Individual

DR. EDWARD E. DECKER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
5272 S LEWIS AVE STE 112, TULSA, OK 74105-6563
(918) 695-5124
(918) 495-2043
Mailing address
5272 S LEWIS AVE STE 112, TULSA, OK 74105-6563
(918) 695-5124
(918) 495-2043

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1129
OK
106H00000X
Marriage & Family Therapist
321
OK

Other

Enumeration date
03/29/2009
Last updated
03/29/2009
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