JOHN WITOSKY

TAHLEQUAH, OK
NPI1881904431
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK  1228)
Enumeration Date2010-10-18
Last Update Date2016-01-14
Business Address
-- JOHN WITOSKY M.S.
1325 E BOONE ST
TAHLEQUAH, OK 74464-3361
Phone number: 918-207-4977
Mailing Address
-- JOHN WITOSKY M.S.
22727 S 540 RD
TAHLEQUAH, OK 74464
Phone number: 918-207-4977
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