ANGELA J SUMTER

TAHLEQUAH, OK
NPI1124315130
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK  364)
Enumeration Date2011-06-29
Last Update Date2011-06-29
Business Address
Miss ANGELA J SUMTER CADC
17675 S MUSKOGEE AVE
TAHLEQUAH, OK 74464-5492
Phone number: 918-316-8258
Mailing Address
Miss ANGELA J SUMTER CADC
PO BOX 948
TAHLEQUAH, OK 74465-0948
Phone number: 918-316-8258
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