Organization
SEQUELCARE OF OKLAHOMA
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
100 N BROADWAY ST, BROKEN BOW, OK 74728-3934
(580) 298-2830
Mailing address
PO BOX 1030, ANTLERS, OK 74523-1030
(580) 298-2830
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/02/2008
Last updated
12/31/2012
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