Smith, Sally

Smith, Sally is an individual health care provider with primary practice located at 4525 Southcreek Rd , Moore OK 73165-7359. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Smith, Sally can be contacted via phone (405) 226-7473.

Contact Information

Primary practice address
4525 Southcreek Rd Moore OK 73165-7359
Phone: (405) 226-7473
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 207 Oklahoma

Profile Details

NPI number 1710502505
LBN Legal business name Smith, Sally
Credentials LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2020
Last updated Jun 8th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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