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1609123892
SONYA DAVIDSON
TAHLEQUAH, OK
NPI
1609123892
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-08-07
Last Update Date
2012-08-07
Business Address
Mrs. SONYA DAVIDSON CADC undersupervisio
17091 S MUSKOGEE AVE
TAHLEQUAH, OK 74465-0000
Phone number: 918-453-5504
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Mailing Address
Mrs. SONYA DAVIDSON CADC undersupervisio
PO BOX 397
PARK HILL, OK 74451-0397
Phone number: 918-453-5504
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