Individual
CLYDE CALVIN GLANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.MIN.
Contact information
Practice address
2761 E SKELLY DR, SUITE 700, TULSA, OK 74105-6232
(918) 747-6800
Mailing address
4223 E 84TH ST, TULSA, OK 74137-1820
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1597
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1597
LICENSED PROFESSIONAL COU
OK
Enumeration date
01/09/2007
Last updated
07/08/2007
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