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Individual

DELORIS J SIMMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1602 N D ST, MCALESTER, OK 74501-2314
(918) 426-1614
Mailing address
PO BOX 48, MEAD, OK 73449-0048
(580) 745-9610

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100708380
OK
05
200049040
OK
Enumeration date
12/31/2012
Last updated
06/05/2025
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