Individual
MRS. DEANNA WASSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
12613 S WESTERN AVE, OKLAHOMA CITY, OK 73170-6903
(405) 735-4891
Mailing address
232 NW 1ST ST, MOORE, OK 73160-5114
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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