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1760807713
CASEY DECKARD
TULSA, OK
NPI
1760807713
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OK 6189)
Enumeration Date
2014-02-27
Last Update Date
2016-09-16
Business Address
-- CASEY DECKARD LPC
11740 E 21ST ST
TULSA, OK 74129-1820
Phone number: 918-437-9495
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Mailing Address
-- CASEY DECKARD LPC
11740 E 21ST ST
TULSA, OK 74129-1820
Phone number: 918-437-9495
Copy
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