DAN CROSS

BROKEN ARROW, OK
NPI1659644979
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK  220)
Enumeration Date2012-02-16
Last Update Date2016-06-16
Business Address
-- DAN CROSS L.A.D.C.
2408 S REDWOOD AVE
BROKEN ARROW, OK 74012-9466
Phone number: 918-260-1096
Mailing Address
-- DAN CROSS L.A.D.C.
2408 S REDWOOD AVE
BROKEN ARROW, OK 74012-9466
Phone number: 918-260-1096
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