Individual
DANIELLE ELIZABETH BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
619 N MAIN ST, MUSKOGEE, OK 74401-4431
(918) 682-8407
(918) 687-0976
Mailing address
619 N MAIN ST, MUSKOGEE, OK 74401-4431
(918) 682-8407
(918) 687-0976
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100734050
—
OK
Enumeration date
09/28/2009
Last updated
09/28/2009
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