Individual
DR. BENJAMIN V NOAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2929 MCLAINE RD SE, ARDMORE, OK 73401-9239
(580) 677-9555
Mailing address
PO BOX 503, MADILL, OK 73446-0503
(580) 677-9555
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3246
OK
Other
Enumeration date
02/22/2007
Last updated
11/12/2010
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