Provider Demographics
NPI:1932481488
Name:DUPREE, WINFRED DEANGELO (BA)
Entity Type:Individual
Prefix:
First Name:WINFRED
Middle Name:DEANGELO
Last Name:DUPREE
Suffix:
Gender:M
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4215 S SHIELDS BLVD
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73129-2861
Mailing Address - Country:US
Mailing Address - Phone:405-537-9780
Mailing Address - Fax:
Practice Address - Street 1:4215 S SHIELDS BLVD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73129-2861
Practice Address - Country:US
Practice Address - Phone:405-537-9780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-11
Last Update Date:2011-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health