Individual
MR. BRUCE EDWARD DEERINWATER II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED
Contact information
Practice address
RR 2 BOX 125C, MCALESTER, OK 74501-9616
(918) 470-9411
Mailing address
RR 2 BOX 125C, MCALESTER, OK 74501-9616
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/26/2010
Last updated
01/26/2010
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