Individual
GARY VANCIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2202 N BROADWAY ST, POTEAU, OK 74953-2000
(918) 649-0018
Mailing address
2202 N BROADWAY ST, POTEAU, OK 74953-2000
(918) 649-0018
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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