Individual
MATT CALVERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6 E LAFAYETTE AVE, COALGATE, OK 74538-2676
(580) 927-5155
Mailing address
16351 US HIGHWAY 75, COALGATE, OK 74538-5036
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10987
OK
Other
Enumeration date
04/17/2017
Last updated
04/16/2024
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