Individual
MR. ROGERS WILLIAMS LOCHE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
3838 NW 36TH ST STE 200, OKLAHOMA CITY, OK 73112-2916
(405) 702-9032
Mailing address
3398 E 6TH AVE APT 405, STILLWATER, OK 74074-6640
(318) 214-7181
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
008911840
LA
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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