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Individual

DARRICK DEWAYNE DODSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
231 E GRAHAM, PRYOR, OK 74361
(918) 825-1405
(918) 825-1406
Mailing address
PO BOX 804, SALINA, OK 74365
(918) 434-2349

Taxonomy

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

Other

Enumeration date
09/17/2007
Last updated
09/17/2007
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