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Individual

TIMOTHY MICAH CLOETER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2325 S HARVARD AVE, TULSA, OK 74114-3300
(918) 712-4301
Mailing address
650 S PEORIA AVE, TULSA, OK 74120-4429
(918) 587-9471
(918) 560-1399

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCCANDIDATE10171
OK
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
12/16/2017
Last updated
07/14/2021
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