SAMMY G GRAY

TISHOMINGO, OK
NPI1053641159
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2010-01-12
Last Update Date2010-01-12
Business Address
-- SAMMY G GRAY ladc
4900 W ACORN RD
TISHOMINGO, OK 73460-4801
Phone number: 580-220-5850
Mailing Address
-- SAMMY G GRAY ladc
4900 W ACORN RD
TISHOMINGO, OK 73460-4801
Phone number: 580-220-5850
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