Individual
GEORGE R PILKINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, LADC
Contact information
Practice address
32300 S 625 RD, GROVE, OK 74345-1585
(918) 786-2930
(918) 786-5985
Mailing address
PO BOX 451585, GROVE, OK 74345-1585
(918) 786-2930
(918) 786-5985
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
143
OK
1041C0700X
Clinical Social Worker
3195
OK
Other
Enumeration date
05/23/2007
Last updated
10/03/2011
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