Individual
MS. CONNIE JANE MCCLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
2 WICKERSHAM ST, MANGUM, OK 73554-9117
(580) 782-3337
Mailing address
PO BOX 364, CARTER, OK 73627-0364
(405) 834-4527
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/04/2010
Last updated
02/04/2010
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