TEDDY WAYNE BERRY

OKLAHOMA CITY, OK
NPI1740590124
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2010-10-19
Last Update Date2010-10-19
Business Address
TEDDY WAYNE BERRY
936 SW 63RD ST.
OKLAHOMA CITY, OK 73139
Phone number: 405-574-6551
Mailing Address
TEDDY WAYNE BERRY
936 SW 63RD ST.
OKLAHOMA CITY, OK 73139
Phone number: 405-574-6551