JOSEPH ADDISON

SAPULPA, OK
NPI1508283243
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2014-03-19
Last Update Date2014-03-19
Business Address
-- JOSEPH ADDISON
2 N WATER ST
SAPULPA, OK 74066-2816
Phone number: 918-224-0225
Mailing Address
-- JOSEPH ADDISON
19675 S 49TH WEST AVE
MOUNDS, OK 74047-4697
Phone number:
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