MICHAEL RAY LAVINE

OKC, OK
NPI1285991752
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2012-04-20
Last Update Date2012-05-24
Business Address
-- MICHAEL RAY LAVINE BHRS
2513 NW 115TH
OKC, OK 73120
Phone number: 405-206-0719
Mailing Address
-- MICHAEL RAY LAVINE BHRS
2513 NW 115TH
OKLAHOMA, OK 73120
Phone number: 405-206-0719