Individual
AMANDA RAE DELT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.E.D.
Contact information
Practice address
2104 N BROADWAY ST UNIT A, POTEAU, OK 74953-2538
(918) 647-0485
(918) 647-0571
Mailing address
2104 N. BROADWAY ST. UNIT A, POTEAU, OK 74953
(918) 647-0485
(918) 647-0571
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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