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Organization
YOUTH SERVICES FOR STEPHENS COUNTY,INC./
Active
Organization
YOUTH SERVICES FOR STEPHENS COUNTY,INC./
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN HERDT (DIRECTOR)
(580) 255-8800
Entity
Organization
Contact information
Practice address
16 S 7TH ST, DUNCAN, OK 73533-4940
(580) 255-8800
(580) 255-8842
Mailing address
PO BOX 1603, DUNCAN, OK 73534-1603
(580) 255-8800
(580) 255-8842
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871717900
—
OK
Enumeration date
04/12/2007
Last updated
06/16/2008
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