Individual
JOHN W. C. WYDEN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
112 N HIGH ST, ANTLERS, OK 74523-2250
(580) 298-3001
(580) 298-5357
Mailing address
112 N HIGH ST, ANTLERS, OK 74523-2250
(580) 298-3001
(580) 298-5357
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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