Individual
MR. GLENN HOWARD MAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
BLDG. 4303 PITMAN AND THOMAS, FT. SILL, OK 73503
(580) 353-1131
(580) 353-0340
Mailing address
1801 SW 68TH ST, LAWTON, OK 73505-9030
(580) 536-7354
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1197
OK
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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