MICHAEL BRUCE ETZLER

EDMOND, OK
NPI1104163773
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2013-01-15
Last Update Date2013-01-15
Business Address
-- MICHAEL BRUCE ETZLER
3317 E MEMORIAL RD STE 101
EDMOND, OK 73013-7105
Phone number: 405-476-5826
Mailing Address
-- MICHAEL BRUCE ETZLER
3905 SPRING HILL DR
EDMOND, OK 73013-6929
Phone number: 405-476-5826