ELMER SHANE FOLSTER

MANGUM, OK
NPI1366781775
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-02-05
Last Update Date2013-02-05
Business Address
-- ELMER SHANE FOLSTER BSW
2 WICKERSHAM ST
MANGUM, OK 73554-9117
Phone number: 580-782-3337
Mailing Address
-- ELMER SHANE FOLSTER BSW
PO BOX 386
MANGUM, OK 73554-0386
Phone number: 580-782-3337
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