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Individual

LEE BLACKWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3621 N KELLEY AVE, SUITE 100, OKLAHOMA CITY, OK 73111-4520
(405) 524-5525
Mailing address
720 E EUBANKS ST, OKLAHOMA CITY, OK 73105-7516
(405) 815-0340

Taxonomy

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

Other

Enumeration date
02/04/2014
Last updated
02/04/2014
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