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1386017374
DAWN BALLEW
TAHLEQUAH, OK
NPI
1386017374
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OK 4951)
Enumeration Date
2015-11-12
Last Update Date
2015-11-12
Business Address
-- DAWN BALLEW
315 N COLLEGE AVE
TAHLEQUAH, OK 74464-2703
Phone number: 918-453-1171
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Mailing Address
-- DAWN BALLEW
19216 W PETTIT BAY RD
PARK HILL, OK 74451-3010
Phone number: 918-453-1171
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