Individual
MARVIN EUGENE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
425 NW 7TH ST, OKLAHOMA CITY, OK 73102
(405) 230-1148
Mailing address
10611 TUMILTY AVE, NONE, MIDWEST CITY, OK 73130-2227
(405) 769-9204
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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