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George Donald Haslam SR.
Mental Health Counselor in Idabel, Oklahoma
NPI 1083889158

George Donald Haslam SR. is a Mental Health Counselor based in Antlers, OK and is specialized in Mental Health. George Donald Haslam SR. practices in Idabel, OK. The NPI Number for George Donald Haslam SR. is 1083889158 and holds a License No. (Oklahoma).

The current practice location address for George Donald Haslam SR. is 411 S Central Ave, Idabel, OK and can be reached out via phone at 580-286-5045.

Location: 411 S Central Ave, Idabel, OK, 74523-1030
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083889158
Provider Name
George Donald Haslam SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
411 S Central Ave, Idabel, OK, 74523-1030
Phone Number
580-286-5045
Fax Number
Provider Enumeration Date
04/29/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
411 S Central Ave
City
Idabel
State
Oklahoma
Zip
74745-6059
Phone Number
580-286-5045
Fax Number
person
Provider Business Mailing Address Details
Address
411 S Central Ave
City
Idabel
State
Oklahoma
Zip
74745-6059
Phone Number
580-286-5045
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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