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Individual

MRS. JENNIFER VANETTE CROUSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BA

Contact information

Practice address
212 W EVERGREEN ST, DURANT, OK 74701-4710
(580) 931-9901
Mailing address
212 W EVERGREEN ST, DURANT, OK 74701-4710
(580) 931-9901

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
04/27/2010
Last updated
04/27/2010
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