KENDALL D DEAN

TAHLEQUAH, OK
NPI1316198666
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2008-10-06
Last Update Date2008-10-06
Business Address
-- KENDALL D DEAN
108 N LENA AVE
TAHLEQUAH, OK 74464-3327
Phone number: 918-316-7310
Mailing Address
-- KENDALL D DEAN
108 N LENA AVE
TAHLEQUAH, OK 74464-3327
Phone number: 918-316-7310