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Individual

MR. MICHAEL LEE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.A.

Contact information

Practice address
1017 NW 6TH ST, OKLAHOMA CITY, OK 73106-7202
(405) 605-8282
Mailing address
2418 BONNYBROOK ST, NORMAN, OK 73071-4324
(918) 813-2241

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
10/05/2012
Last updated
10/05/2012
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