Individual
MRS. VALERIE JO RENA DODSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
705 W 13TH ST, ATOKA, OK 74525-3712
(580) 889-5555
Mailing address
36972 COUNTY ROAD 1640, TUPELO, OK 74572-6005
(580) 927-0022
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/27/2013
Last updated
08/21/2024
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