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Individual

TYREE VERNELL SCOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BHRS

Contact information

Practice address
8801 S OLIE AVE, OKLAHOMA CITY, OK 73139-9359
(405) 616-2442
Mailing address
9613 WARRINGER CT, OKLAHOMA CITY, OK 73162-6409
(405) 537-8458

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
02/28/2012
Last updated
02/28/2012
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