Individual
ANTONIO PERKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2709 SE 8TH ST, MOORE, OK 73160-6748
(580) 647-2010
Mailing address
2709 SE 8TH ST, MOORE, OK 73160-6748
(580) 647-2010
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/15/2013
Last updated
10/15/2013
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