LARRY EUGENE SMITH

GROVE, OK
NPI1548469448
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK  46, 13162)
Enumeration Date2007-07-12
Last Update Date2007-07-12
Business Address
Mr. LARRY EUGENE SMITH cadc,icadc
32208 S. 620 RD
GROVE, OK 74344
Phone number: 918-787-7769
Mailing Address
Mr. LARRY EUGENE SMITH cadc,icadc
PO BOX 451585
GROVE, OK 74345-1585
Phone number: 918-787-7769