JAMES SMITH

BLACKWELL, OK
NPI1992138242
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-08-09
Last Update Date2013-08-09
Business Address
-- JAMES SMITH
1608 COUNTRY RD
BLACKWELL, OK 74631-6750
Phone number: 580-363-0088
Mailing Address
-- JAMES SMITH
1608 COUNTRY RD
BLACKWELL, OK 74631-6750
Phone number:
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