MIKE DAVIS

ENID, OK
NPI1609183243
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK  149)
Enumeration Date2010-09-02
Last Update Date2010-09-02
Business Address
-- MIKE DAVIS CADC
605 W OXFORD AVE
ENID, OK 73701-1208
Phone number: 580-233-7220
Mailing Address
-- MIKE DAVIS CADC
605 W OXFORD AVE
ENID, OK 73701-1208
Phone number: 580-233-7220
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