Individual
MR. JOHN SCOTT CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
112 W MAIN ST, PURCELL, OK 73080-4220
(405) 527-1785
Mailing address
PO BOX 662, PURCELL, OK 73080-0662
(405) 527-1785
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
749
OK
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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