ODELL WAYNE SMITH

MUSKOGEE, OK
NPI1386998060
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2012-11-02
Last Update Date2012-11-02
Business Address
ODELL WAYNE SMITH
619 N MAIN ST
MUSKOGEE, OK 74401-4431
Phone number: 918-682-8407
Mailing Address
ODELL WAYNE SMITH
619 N MAIN ST
MUSKOGEE, OK 74401-4431
Phone number: 918-682-8407