Individual
MS. DEBRA LYNN SPEARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4605 W NICKLAS AVE APT B, OKLAHOMA CITY, OK 73132-6913
(405) 401-9266
Mailing address
PO BOX 23092, OKLAHOMA CITY, OK 73123-2092
(405) 401-9266
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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