Individual
BOB HARTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
2305 REDWOOD LANE, LAWTON, OK 73505-1310
(580) 585-2325
Mailing address
2305 REDWOOD LANE, LAWTON, OK 73505-1310
(580) 585-2325
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
31
OK
Other
Enumeration date
01/08/2008
Last updated
01/08/2008
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