Individual
TODD CLEVENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
4201 24TH AVE NW, NORMAN, OK 73069
(405) 310-2794
Mailing address
2932 SW 126TH ST, OKLAHOMA CITY, OK 73170-2042
(316) 461-6604
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4597
OK
104100000X
Social Worker
7776
KS
Other
Enumeration date
07/09/2010
Last updated
06/02/2014
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