DELBERT SHIRLEY

PONCA CITY, OK
NPI1760683031
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2007-05-31
Last Update Date2012-11-20
Business Address
DELBERT SHIRLEY B.S.
620 W GRAND AVE
PONCA CITY, OK 74601-5123
Phone number: 580-762-1462
Mailing Address
DELBERT SHIRLEY B.S.
620 W GRAND AVE
PONCA CITY, OK 74601-5123
Phone number: 580-762-1462