MICHAEL R HATHCOCK

MOORE, OK
NPI1407134315
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2011-07-26
Last Update Date2011-07-26
Business Address
Mr. MICHAEL R HATHCOCK bs
800 NE 19TH ST
MOORE, OK 73160-6302
Phone number: 405-912-5145
Mailing Address
Mr. MICHAEL R HATHCOCK bs
18350 ROLLING OAK RD
NEWALLA, OK 74857-1255
Phone number: 405-618-1081
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