Individual
MR. DAVOD ANDREW NEMATPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 N UNION AVE, SHAWNEE, OK 74801-7067
(405) 623-3544
Mailing address
101 N UNION AVE, SHAWNEE, OK 74801-7067
(405) 623-3544
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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