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Individual

MASON ORR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
SUDRC16817

Contact information

Practice address
6300 S SANTA FE RD, GUTHRIE, OK 73044-8676
(405) 438-7465
Mailing address
6300 S SANTA FE RD, GUTHRIE, OK 73044-8676
(405) 438-7465

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16817
CA

Other

Enumeration date
06/18/2024
Last updated
06/18/2024
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