Individual
FAYNE ALAN SAWATZKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BHRS, CM-A
Contact information
Practice address
3080 W 3RD ST, ELK CITY, OK 73644-4323
(580) 225-5136
(580) 225-5138
Mailing address
1120 SHERWOOD RD, CLINTON, OK 73601-5442
(580) 323-1773
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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