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Individual

MS. DESIREA COON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
B.S.W.

Contact information

Practice address
429 N UNION AVE, SHAWNEE, OK 74801-7019
(405) 275-1844
Mailing address
433 JEFFERSON ST, SEMINOLE, OK 74868-3140
(405) 584-7405

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
09/13/2020
Last updated
09/13/2020
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