SALLY SMITH

MOORE, OK
NPI1710502505
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK  207)
Enumeration Date2020-06-08
Last Update Date2020-06-08
Business Address
SALLY SMITH LADC
4525 SOUTHCREEK RD
MOORE, OK 73165-7359
Phone number: 405-226-7473
Mailing Address
SALLY SMITH LADC
4525 SOUTHCREEK RD
MOORE, OK 73165-7359
Phone number: 405-226-7473
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