MITZY KANTOR

CLAREMORE, OK
NPI1306256235
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2014-04-30
Last Update Date2014-04-30
Business Address
-- MITZY KANTOR
901 E 11TH ST
CLAREMORE, OK 74017-6443
Phone number: 918-813-5304
Mailing Address
-- MITZY KANTOR
901 E 11TH ST
CLAREMORE, OK 74017-6443
Phone number: 918-813-5304
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