Organization
POSITIVE OUTCOMES THERAPEUTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DWAIN ANTHONY PELLEBON PH.D., LCSW (OWNER)
(405) 255-8503
Entity
Organization
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
—
—
Other
Enumeration date
01/13/2019
Last updated
07/07/2020
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