DANA BOLDT GREEN, M.ED., LPC, NCGC-2, PC

KINGSTON, OK
NPI1518373513
Entity TypeOrganization
Authorized ContactDANA GREEN
President
5850-565-2252
Organization Subpart ?No
Primary Taxonomy251S00000X 
(Licence: OK  2011)
Enumeration Date2014-07-10
Last Update Date2014-07-10
Business Address
DANA BOLDT GREEN, M.ED., LPC, NCGC-2, PC
8800 BIRCH ST
KINGSTON, OK 73439
Phone number: 580-565-2252
Mailing Address
DANA BOLDT GREEN, M.ED., LPC, NCGC-2, PC
PO BOX 1800
KINGSTON, OK 73439-1800
Phone number: 580-565-2252
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