Individual
CLIFFORD D MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
500 MAIN STREET, BATTIEST, OK 74722
(580) 241-5294
(580) 241-5739
Mailing address
HC 69 BOX 52, ANTLERS, OK 74523-9201
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1899
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G160-46-07879
—
OK
Enumeration date
01/04/2007
Last updated
07/08/2007
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