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NPI Code Detail

MEDICARE: MS. DEBORAH J MORROW LCSW, LADC

MEDICARE:  MS. DEBORAH J MORROW  LCSW, LADC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor204OK
21041C0700XClinical Social Worker2669OK

General Provider Information

NPI Number : 1407876121
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DEBORAH J MORROW LCSW, LADC
Provider Business Mailing Address
First Line : PO BOX 204
Second Line : 7401 NORTH 43RD STREET EAST
City : OKAY
State : OK
Zip : 74446-0204
Country : US
Telephone Number : 918-519-2635
Fax Number : 918-686-6514
Provider Business Practice Location Address
First Line : 1011 HONOR HEIGHTS DR
Second Line : FIVE EAST
City : MUSKOGEE
State : OK
Zip : 74401-1318
Country : US
Telephone Number : 918-577-4031
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 09/17/2007

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Directions to “ MS. DEBORAH J MORROW LCSW, LADC” Practice Location

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