JONATHAN GREENWOOD

SHAWNEE, OK
NPI1538285994
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK  0269310306)
Enumeration Date2007-03-21
Last Update Date2007-07-08
Business Address
-- JONATHAN GREENWOOD
1414 N KENNEDY AVE
SHAWNEE, OK 74801-4700
Phone number: 405-275-3391
Mailing Address
-- JONATHAN GREENWOOD
1414 N KENNEDY AVE
SHAWNEE, OK 74801-4700
Phone number: 405-275-3391
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