Individual
LARRY OLIVER CHESSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1705 CRADDUCK RD, ADA, OK 74820-9491
(580) 310-9000
Mailing address
115 E B AVE, KONAWA, OK 74849-2629
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/28/2009
Last updated
09/28/2009
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