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Individual

MISS SHERRIE DIANNA EFFINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
110 S 5TH ST STE 200, YUKON, OK 73099-2658
(405) 256-5996
Mailing address
PO BOX 10, MUSTANG, OK 73064-0010
(405) 256-5996
(405) 265-2553

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
4535
OK
1041C0700X
Clinical Social Worker
2021044898
MO
1041C0700X
Clinical Social Worker
Primary
4535
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200393610A
OK
Enumeration date
06/28/2011
Last updated
06/27/2022
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