LUCAS EMIL STREETS

BETHANY, OK
NPI1154626539
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2011-01-17
Last Update Date2011-01-17
Business Address
Mr. LUCAS EMIL STREETS
8116 NW 29TH ST
BETHANY, OK 73008-4321
Phone number: 405-596-5244
Mailing Address
Mr. LUCAS EMIL STREETS
8116 NW 29TH ST
BETHANY, OK 73008-4321
Phone number: 405-596-5244
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