Individual
DANIEL WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
564 SPARROW RD, VALLIANT, OK 74764-9793
(580) 933-5286
Mailing address
564 SPARROW RD, VALLIANT, OK 74764-5472
(580) 933-5286
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
OK
Other
Enumeration date
06/26/2012
Last updated
10/28/2014
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