Individual
IRVIN DWAYNE PROFIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC U/S
Contact information
Practice address
5319 S. LEWIS, STE 219, TULSA, OK 74105
(918) 832-7763
(918) 292-8250
Mailing address
5319 S. LEWIS, STE 219, TULSA, OK 74105
(918) 832-7763
(918) 292-8250
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/12/2007
Last updated
09/26/2013
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