Individual
MARILYN JEAN DUPLISSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23077 SHADE TREE LN, POTEAU, OK 74953-8101
(918) 413-2040
(918) 647-2191
Mailing address
23077 SHADE TREE LN, POTEAU, OK 74953-8101
(918) 413-2040
(918) 647-2191
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
OK
101YM0800X
Mental Health Counselor
Primary
—
OK
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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