JOSEPH HAROLD OTTERSTROM

TAHLEQUAH, OK
NPI1215208814
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2012-01-13
Last Update Date2012-01-13
Business Address
-- JOSEPH HAROLD OTTERSTROM
800 CRAFTON ST APT F-3
TAHLEQUAH, OK 74464-7112
Phone number: 918-402-4666
Mailing Address
-- JOSEPH HAROLD OTTERSTROM
800 CRAFTON ST APT F-3
TAHLEQUAH, OK 74464-7112
Phone number: 918-402-4666