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1629308408
JAVEY T. DALLAS
OKLAHOMA CITY, OK
NPI
1629308408
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OK 3759)
Enumeration Date
2009-12-30
Last Update Date
2009-12-30
Business Address
Mr. JAVEY T. DALLAS M.S.W., L.C.S.W.
5909 VIXEN WAY
OKLAHOMA CITY, OK 73142-4802
Phone number: 405-314-8422
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Mailing Address
Mr. JAVEY T. DALLAS M.S.W., L.C.S.W.
5909 VIXEN WAY
OKLAHOMA CITY, OK 73142-4802
Phone number: 405-314-8422
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