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DEETRA JACKSON

Counselor

NPI: 1326485582Individual

Specialties, Licenses & Credentials

CounselorPrimary

Counselor

Code: 101Y00000X

Contact & Hours

Address
411 S CENTRAL AVE
IDABEL, OK 74745

Quick Facts

NPI
1326485582
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
1
Locations
1

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