Individual
DAVID LANTE BOTCHWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4814 KRISTIE DR APT 74, OKLAHOMA CITY, OK 73115-4810
(405) 409-0916
Mailing address
PO BOX 15793, OKLAHOMA CITY, OK 73155-5793
(405) 409-0916
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/26/2012
Last updated
04/30/2012
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