Individual
DEANDRA R HUNIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2625 N PEORIA AVE, TULSA, OK 74106-2512
(918) 749-0149
(918) 794-0196
Mailing address
2625 N PEORIA AVE, TULSA, OK 74106-2512
(918) 749-0149
(918) 794-0196
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
800673981
—
OK
Enumeration date
09/20/2011
Last updated
09/20/2011
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