Individual
DUSTIN JAMES LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
907 W CADDO ST, CLEVELAND, OK 74020-4201
(918) 308-5511
(918) 205-2701
Mailing address
907 W CADDO ST, CLEVELAND, OK 74020-4201
(918) 308-5511
(918) 205-2701
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7667
OK
Other
Enumeration date
05/30/2018
Last updated
02/22/2021
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