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Organization

PATHWAYS COUNSELING CENTER OF OKLAHOMA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GEORGE WAYNE DURRENCE MBS, LBP (OWNER/ CLINICAL DIRECTOR)
(580) 326-9128
Entity
Organization

Contact information

Practice address
112 W JACKSON ST, HUGO, OK 74743-3310
(580) 326-9128
Mailing address
112 W JACKSON ST, HUGO, OK 74743-3310
(580) 326-9128

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
OK

Other

Enumeration date
04/16/2012
Last updated
04/16/2012
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