Individual
MISS JENNIFER L CLANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1428 N NORMAN AVE, APT. 4, MOORE, OK 73160-1718
(405) 602-9410
Mailing address
1428 N NORMAN AVE, APT. 4, MOORE, OK 73160-1718
(405) 602-9410
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/12/2011
Last updated
04/12/2011
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