Organization
PIONEER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLORIA JEAN CLOKE M.ED., LPC (OWNER/COUNSELOR)
(405) 615-9267
Entity
Organization
Contact information
Practice address
23 E 9TH ST, SUITE 444, SHAWNEE, OK 74801-6943
(405) 615-9267
(405) 279-2773
Mailing address
RR 2 BOX 225, MEEKER, OK 74855-9629
(405) 615-9267
(405) 279-2773
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3100
OK
Other
Enumeration date
11/17/2009
Last updated
11/17/2009
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