Individual
ANTWAINE DARNELL CLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
437 W WILSHIRE BLVD STE C, OKLAHOMA CITY, OK 73116-7747
(405) 274-3025
Mailing address
816 NW 116TH ST, OKLAHOMA CITY, OKLAHOMA CITY, OK 73114-7915
(405) 274-3025
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5093
OK
Other
Enumeration date
10/14/2011
Last updated
07/30/2024
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