Individual
KEITH A. GLADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.H.R.S.
Contact information
Practice address
1719 SW 11TH ST, LAWTON, OK 73501-7305
(580) 581-1818
(580) 581-1819
Mailing address
PO BOX 662, PURCELL, OK 73080-0662
(405) 527-1785
(405) 527-1084
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
N/A
—
225CX0006X
Orientation and Mobility Training Rehabilitation Counselor
—
—
Other
Enumeration date
03/16/2010
Last updated
03/16/2010
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