Individual
DWAYNE DE NOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
744 SE 25TH ST, OKLAHOMA CITY, OK 73129-4843
(405) 636-1463
Mailing address
744 SE 25TH ST, OKLAHOMA CITY, OK 73129-4843
(405) 636-1463
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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