STEVEN MARK ELLSWORTH

EDMOND, OK
NPI1194562264
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OK  1367)
Enumeration Date2024-07-15
Last Update Date2024-07-15
Business Address
Mr. STEVEN MARK ELLSWORTH LADC/MH
800 MYRTLE DR
EDMOND, OK 73034-4639
Phone number: 405-517-7243
Mailing Address
Mr. STEVEN MARK ELLSWORTH LADC/MH
PO BOX 2468
EDMOND, OK 73083-2468
Phone number: 405-517-7243
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