Individual
CHANDRA LONE WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW-P
Contact information
Practice address
105365 S HIGHWAY 102, MCLOUD, OK 74851-3051
(405) 964-2618
Mailing address
PO BOX 1059, MCLOUD, OK 74851-1059
(405) 964-2618
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/07/2019
Last updated
11/07/2019
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