Individual
DELORSE JEAN RICKETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 MCKINLEY AVE, CHANDLER, OK 74834-1622
(405) 258-3040
Mailing address
334754 E TIMBER OAKS DR, WELLSTON, OK 74881-8180
(405) 356-2188
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/18/2010
Last updated
02/18/2010
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