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Organization
SOUTHERN OKLAHOMA TREATMENT SERVICES
Active
Organization
SOUTHERN OKLAHOMA TREATMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANDY SHUBIN (ADMINISTRATION)
(405) 208-9354
Entity
Organization
Contact information
Practice address
1307 SW WASHINGTON AVE, LAWTON, OK 73501-7231
(405) 208-9354
Mailing address
PO BOX 48, MEAD, OK 73449-0048
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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