Individual
MS. DEBBIE JEAN DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LBP
Contact information
Practice address
3111 B N BROADWAY, POTEAU, OK 74953
(918) 647-2262
(918) 647-2282
Mailing address
42631 TIMBER RIDGE RD, HOWE, OK 74940-3625
(918) 653-7754
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0332
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200123440A
—
OK
Enumeration date
12/31/2009
Last updated
12/31/2009
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