Individual
ADAM LIBERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
428 N.W 81ST, OKLAHOMA CITY, OK 73114
(405) 436-1176
Mailing address
428 NW 81ST ST, OKLAHOMA CITY, OK 73114-3208
(405) 822-3452
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/26/2013
Last updated
10/24/2013
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