Individual
MRS. REBECCA L CLABORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
412 N VAN BUREN ST, ENID, OK 73703-4453
(580) 234-2610
Mailing address
2721 CONSTITUTION AVE, ENID, OK 73703-1344
(580) 234-2610
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1553
OK
Other
Enumeration date
09/13/2007
Last updated
09/13/2007
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