Individual
DWAYNE CASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1410 S GIN RD, ATOKA, OK 74525-7348
(580) 889-3399
Mailing address
1410 S GIN RD, ATOKA, OK 74525-7348
(580) 889-3399
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/24/2015
Last updated
06/24/2015
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