Royce Street

NPI #1699084178 in Wewoka, Oklahoma

Provider Information

NPI Number: 1699084178
Entity Type: Individual
Name: Royce Street
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Sep 30, 2010
Last Updated: Sep 30, 2010

Practice Location

Address: 221 N WEWOKA AVE
City: Wewoka
State: Oklahoma
ZIP Code: 74884-2221
Phone: (405) 257-9030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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