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Organization

SEQUELCARE OF OKLAHOMA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DOROTHY METCALF MSW,LCSW,LADC (EXEC DIR)
(580) 298-2830
Entity
Organization

Contact information

Practice address
1907 N BROADWAY ST, POTEAU, OK 74953-2639
(918) 649-0230
Mailing address
PO BOX 1030, ANTLERS, OK 74523-1030
(580) 298-2830
(580) 298-6723

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100744370F
OK
Enumeration date
12/20/2006
Last updated
12/31/2012
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