Individual
DWAIN A PELLEBON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LCSW
Contact information
Practice address
2500 BOARDWALK STE 210, NORMAN, OK 73069-6593
(405) 857-8357
(405) 857-1678
Mailing address
2227 IOWA ST, NORMAN, OK 73069-6520
(405) 255-8503
(405) 857-1678
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6098
OK
Other
Enumeration date
01/16/2014
Last updated
05/18/2022
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