BENJAMIN DODSON

GROVE, OK
NPI1780063388
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-05-28
Last Update Date2015-06-15
Business Address
-- BENJAMIN DODSON
32300 S 625 RD
GROVE, OK 74344-6285
Phone number: 918-786-2930
Mailing Address
-- BENJAMIN DODSON
PO BOX 451585
GROVE, OK 74345-1585
Phone number: 918-786-2930
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