Individual
MR. FRANK M TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED L.A.DC
Contact information
Practice address
2 WICKERSHAM ST, MANGUM, OK 73554-9117
(580) 782-3337
(580) 782-3338
Mailing address
2204 COUNTRY CLUB TER, DUNCAN, OK 73533-3208
(580) 255-5909
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
132
OK
Other
Enumeration date
06/15/2007
Last updated
07/08/2007
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