RICKEY DEAN SHORT

NORMAN, OK
NPI1487950788
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK  94)
Enumeration Date2011-02-03
Last Update Date2011-02-03
Business Address
Mr. RICKEY DEAN SHORT LADC
3750 W MAIN ST SUITE 206
NORMAN, OK 73072-4657
Phone number: 405-447-8519
Mailing Address
Mr. RICKEY DEAN SHORT LADC
4105 QUAIL DR
NORMAN, OK 73072-4518
Phone number: 405-447-8519