LARRY ANNAISE BIRDEN

OKLAHOMA CITY, OK
NPI1982991626
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2011-07-01
Last Update Date2011-07-01
Business Address
Mr. LARRY ANNAISE BIRDEN
3621 N KELLEY AVE SUITE 100
OKLAHOMA CITY, OK 73111-4520
Phone number: 405-524-5525
Mailing Address
Mr. LARRY ANNAISE BIRDEN
305 BRACKENDALE LN
EDMOND, OK 73003-4747
Phone number: 504-251-1313
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