Individual
MR. MICHAEL DUANE ELSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSW
Contact information
Practice address
510 5TH ST., ALVA, OK 73717
(580) 327-0565
Mailing address
4436 NW 50TH ST, 510 5T ST. ALVA, OK 73717, OKLAHOMA CITY, OK 73112-2212
(580) 327-0565
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/23/2010
Last updated
07/23/2010
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