Individual
MICHAEL STEVEN NORTHCUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 N BROADWAY ST STE 213, MOORE, OK 73160-5135
(405) 990-0816
Mailing address
124 E BOOMER ST, LEXINGTON, OK 73051-8642
(405) 268-4292
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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