DENNIS DALE WHITTEN

IDABEL, OK
NPI1184743502
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK  72)
Enumeration Date2007-03-28
Last Update Date2007-07-08
Business Address
Mr. DENNIS DALE WHITTEN MACJ, LADC, ICAADC
104 N.E. AVENUE A
IDABEL, OK 74745
Phone number: 580-212-9175
Mailing Address
Mr. DENNIS DALE WHITTEN MACJ, LADC, ICAADC
PO BOX 555
IDABEL, OK 74745-0555
Phone number: 580-212-9175
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