Individual
JAMES ROBERT HENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
CLAY CROSSING FOUNDATION, 32018 HWY 59, MAUD, OK 74854
(405) 374-1225
Mailing address
CLAY CROSSING FOUNDATION, P.O BOX 8, 32018 HWY 59, MAUD, OK 74854
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/05/2023
Last updated
08/09/2023
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