Individual
SIRFREEBIRD EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
623 E ILLINOIS AVE, ENID, OK 73701-7573
(580) 977-8602
Mailing address
623 E ILLINOIS AVE, ENID, OK 73701-7573
(580) 977-8602
Taxonomy
Speciality
Code
Description
License number
State
102X00000X
Poetry Therapist
—
OK
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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