Individual
DIONDRICK KEENAN TAWKOYTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2012 NW 24TH ST, LAWTON, OK 73505-3917
(580) 771-6902
Mailing address
2012 NW 24TH ST, LAWTON, OK 73505-3917
(580) 771-6902
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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