Individual
MR. CLARENCE EDWARD ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. ED.
Contact information
Practice address
15627 S 439, LOCUST GROVE, OK 74352-5235
(918) 386-2254
Mailing address
15627 S 439, LOCUST GROVE, OK 74352-5235
(918) 386-2254
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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