Individual
MRS. DALE JAELANE DAILY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
512 S POLK ST, ENID, OK 73703-5717
(580) 242-2532
Mailing address
512 S POLK ST, ENID, OK 73703-5717
(580) 242-2532
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
402
OK
Other
Enumeration date
01/29/2009
Last updated
01/29/2009
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