Doctor Name: | MRS. JUANITA M. CELIE |
NPI Number: | 1033225883 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | 2449 |
Business Practice Address: | 5700 Arnold St 72 Mdg/sgoh Tinker Afb, OK - 731458105 |
Business Phone Number: | 4057344393 |
Business Fax Number: | |
Mailing Address: | 8325 Treeline Dr, CHOCTAW |
State: | OK |
Postal Code: | 730204529 |
Phone Number: | 4053865183 |
Fax Number: | |
NPI Enumeration Date: | 08/22/2006 |
NPI Last Update Date: | 12/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 2449 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |