Individual
MRS. DESHONDRA KAY NEEDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1604 N WASHINGTON AVE, DURANT, OK 74701-2128
(580) 920-0909
(580) 931-3119
Mailing address
8530 S PROJECT LN, MILBURN, OK 73450-9580
(580) 775-0368
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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