Individual
MR. ALFONSO ALVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 NE 50TH ST, OKLAHOMA CITY, OK 73105-1811
(405) 570-2496
Mailing address
5801 NW 162ND ST, EDMOND, OK 73013-9437
(405) 570-2496
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
Other
Enumeration date
05/06/2010
Last updated
05/06/2010
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