Individual
MRS. DOROTHY JEAN PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M ED
Contact information
Practice address
1400 BRYAN DRIVE, SUITE 305, DURANT, OK 74701
(580) 924-0066
(580) 924-1551
Mailing address
1400 BRYAN DRIVE, SUITE 305, DURANT, OK 74701
(580) 924-0066
(580) 924-1551
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0042
OK
101Y00000X
Counselor
0048
OK
101Y00000X
Counselor
9832
TX
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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