Individual
STEVEN ALLON GILLISPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
808 PALM DR, DUNCAN, OK 73533-3326
(580) 656-0127
Mailing address
808 PALM DR, DUNCAN, OK 73533-3326
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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