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Individual

MR. LARRY KENNEDY CHATMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
1140 NW 32ND ST, OKLAHOMA CITY, OK 73118-5651
(405) 290-1708
Mailing address
3839 NW 31ST ST, OKLAHOMA CITY, OK 73112-3376
(405) 634-3855

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801016430
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6801016430
SOCIAL WORK LICENSE
MI
Enumeration date
09/25/2006
Last updated
07/08/2007
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