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Individual

MR. DAVID MATTHEW RUNNELS I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S.W.

Contact information

Practice address
351 N AIR DEPOT BLVD STE S, MIDWEST CITY, OK 73110-1760
(405) 610-6540
(405) 610-6563
Mailing address
351 N AIR DEPOT BLVD STE S, MIDWEST CITY, OK 73110-1760
(405) 610-6540
(405) 610-6563

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
08/09/2011
Last updated
08/09/2011
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