Individual
LILLIAN RUTH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3033 N WALNUT AVE, OKLAHOMA CITY, OK 73105-2832
(405) 235-9709
Mailing address
213 NW 85TH ST, OKLAHOMA CITY, OK 73114-3407
(405) 907-4308
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/03/2021
Last updated
03/06/2025
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