THERON OGEDENGBE

TAHLEQUAH, OK
NPI1578925681
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2016-03-28
Last Update Date2016-03-28
Business Address
-- THERON OGEDENGBE
227 N WATER AVE
TAHLEQUAH, OK 74464-2825
Phone number: 918-207-0078
Mailing Address
-- THERON OGEDENGBE
1330 E ALLEN RD APT 9
TAHLEQUAH, OK 74464-2255
Phone number: 918-934-0348