Individual
MR. TG CHILDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2212 NE 24TH ST, OKLAHOMA CITY, OK 73111-3415
(405) 326-2833
Mailing address
2212 NE 24TH ST, OKLAHOMA CITY, OK 73111-3415
(405) 326-2833
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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