Individual
MR. GODWIN SUNDAY EHIREMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC CAN.
Contact information
Practice address
109 N FAIRLAND ST, PRYOR, OK 74361-4203
(918) 825-1405
Mailing address
109 N FAIRLAND ST, PRYOR, OK 74361-4203
(918) 825-1405
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OK
Other
Enumeration date
08/07/2017
Last updated
03/16/2020
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