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NPI Code Detail

MEDICARE: MS. DAWN ANNE GWARTNEY-DELOZIER LPC

MEDICARE: MS. DAWN ANNE GWARTNEY-DELOZIER LPC
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
1101YM0800XMental Health Counselor2552OK

General Provider Information

NPI Number : 1194961052
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DAWN ANNE GWARTNEY-DELOZIER LPC
Provider Business Mailing Address
First Line : PO BOX 876
Second Line :
City : MIAMI
State : OK
Zip : 74355-0876
Country : US
Telephone Number : 918-542-1786
Fax Number : 918-542-3052
Provider Business Practice Location Address
First Line : 58150 E 66 RD
Second Line :
City : MIAMI
State : OK
Zip : 74354-6509
Country : US
Telephone Number : 918-542-1786
Fax Number : 918-542-3052
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/26/2008
Last Update Date : 12/26/2008

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Directions to “ MS. DAWN ANNE GWARTNEY-DELOZIER LPC” Practice Location

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