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1962830075
SLY WHITE
OKLAHOMA CITY, OK
NPI
1962830075
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-10-29
Last Update Date
2013-10-29
Business Address
-- SLY WHITE B.S.
3621 N KELLEY AVE SUITE 100
OKLAHOMA CITY, OK 73111-4520
Phone number: 405-524-5525
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Mailing Address
-- SLY WHITE B.S.
PO BOX 13586
OKLAHOMA CITY, OK 73113-1586
Phone number: 405-627-5959
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