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1629194055
NANNELL CROW
ADA, OK
NPI
1629194055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK 339)
Enumeration Date
2007-03-21
Last Update Date
2016-11-17
Business Address
Mr. NANNELL CROW MS, LADC
1400 HOPPE BLVD, SUITE 3 VIOLENCE PREVENTION SERVICES
ADA, OK 74820
Phone number: 580-272-5580
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Mailing Address
Mr. NANNELL CROW MS, LADC
210 E. MAIN RESOURCE MANAGEMENT
ADA, OK 74820
Phone number: 580-436-7211
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