NATHANIEL DASH

MANGUM, OK
NPI1619094851
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK  145)
Enumeration Date2007-03-23
Last Update Date2007-07-08
Business Address
-- NATHANIEL DASH CADC
2 WICKERSHAM ST
MANGUM, OK 73554-9117
Phone number: 580-782-3337
Mailing Address
-- NATHANIEL DASH CADC
710 E SUTHERLAND ST
ALTUS, OK 73521-4041
Phone number: 580-477-2871
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