Individual
MS. DEBORAH ECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1409 S MAIN ST, STILLWATER, OK 74074-5836
(580) 401-0500
Mailing address
1409 S MAIN ST, STILLWATER, OK 74074-5836
(580) 401-0500
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1025
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100734180 C
—
OK
Enumeration date
01/09/2009
Last updated
04/06/2012
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