MICHAEL DEAN FLEETWOOD

ENID, OK
NPI1780220475
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK  164)
Enumeration Date2019-11-18
Last Update Date2019-11-18
Business Address
Mr. MICHAEL DEAN FLEETWOOD CADC
1824 S VAN BUREN ST
ENID, OK 73703-7903
Phone number: 580-540-8965
Mailing Address
Mr. MICHAEL DEAN FLEETWOOD CADC
2113 NE 15TH ST
MOORE, OK 73160-8625
Phone number: 052-038-5294
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