Dedmon, Clea Elise

Dedmon, Clea Elise is an individual health care provider with primary practice located at 309 Rogers Ave , Poteau OK 74953-4227. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Dedmon, Clea Elise can be contacted via phone (918) 647-5395.

Contact Information

Primary practice address
309 Rogers Ave Poteau OK 74953-4227
Phone: (918) 647-5395
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X Oklahoma

Profile Details

NPI number 1134409139
LBN Legal business name Dedmon, Clea Elise
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2011
Last updated Aug 22nd, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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