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1033855366
DESIRAE WHITE
OKLAHOMA CITY, OK
NPI
1033855366
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-05-10
Last Update Date
2022-05-10
Business Address
DESIRAE WHITE
3621 N KELLEY AVE STE 100
OKLAHOMA CITY, OK 73111-4520
Phone number: 405-524-5528
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Mailing Address
DESIRAE WHITE
9339 APPLE DR
MIDWEST CITY, OK 73130-7183
Phone number: 405-249-3695
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