Individual
MR. MUHAMMAD ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASE MANAGER
Contact information
Practice address
5326 NW ELM AVE, LAWTON, OK 73505-4622
(580) 574-0580
Mailing address
5326 NW ELM AVE, LAWTON, OK 73505-4622
(580) 574-0580
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22450
OK
Other
Enumeration date
05/25/2010
Last updated
05/25/2010
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