Individual
AMY DUPRE CASANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1410 E 38TH ST UNIT A, TULSA, OK 74105-3354
(214) 577-9738
Mailing address
1410 E 38TH ST UNIT A, TULSA, OK 74105-3354
(214) 577-9738
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5507
OK
Other
Enumeration date
11/11/2014
Last updated
11/11/2014
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