LATICIA ANNETTE KNAULS

SALLISAW, OK
NPI1932440609
Other NameLATICIA ANETTE JOHNSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-03-06
Last Update Date2013-03-06
Business Address
-- LATICIA ANNETTE KNAULS
205 S J T STITES BLVD
SALLISAW, OK 74955-9323
Phone number: 918-775-7787
Mailing Address
-- LATICIA ANNETTE KNAULS
205 S J T STITES BLVD
SALLISAW, OK 74955-9323
Phone number: 918-775-7787
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