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Individual

DERELL JOVAN SPIRES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
9242 NORTH MCARTHUR BLVD APT A, OKLAHOMA CITY, OK 73132
(870) 995-0919
Mailing address
9242 N MACARTHUR BLVD APT A, OKLAHOMA CITY, OK 73132-2451
(870) 995-0919

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
251B00000X
Case Management Agency
Primary

Other

Enumeration date
03/18/2011
Last updated
03/18/2011
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