Individual
SHELLEY DEUTSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
171 AUTUMN DR, LAWTON, OK 73507-8101
(580) 574-2919
Mailing address
171 AUTUMN DR, LAWTON, OK 73507-8101
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2539
OK
Other
Enumeration date
08/30/2009
Last updated
08/30/2009
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