TANYA REVELS

ARDMORE, OK
NPI1801023023
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2009-06-15
Last Update Date2009-06-15
Business Address
-- TANYA REVELS
312 BARBARA ST
ARDMORE, OK 73401-9716
Phone number: 580-222-1528
Mailing Address
-- TANYA REVELS
312 BARBARA ST
ARDMORE, OK 73401-9716
Phone number: 580-222-1528
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