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Individual

ADAM LEE QUICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
310 S 10TH ST, HARTSHORNE, OK 74547-4212
(918) 424-3700
Mailing address
1320 NW HOMESTEAD DR STE G, LAWTON, OK 73505-5243
(714) 951-2257

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
12/09/2024
Last updated
12/09/2024
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