| Community Resource Professionals | |
|
304 W Will Rogers Blvd Claremore OK 74017-7022 | |
| (918) 343-3456 | |
| (918) 343-3456 |
| Full Name | Community Resource Professionals |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 304 W Will Rogers Blvd, Claremore, Oklahoma |
| Authorized Official Name and Position | Gary Wilson (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 9183433456 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Resource Professionals 304 W Will Rogers Blvd Claremore OK 74017-7022 Ph: (918) 343-3456 | Community Resource Professionals 304 W Will Rogers Blvd Claremore OK 74017-7022 Ph: (918) 343-3456 |
| NPI Number | 1821211087 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 09/10/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821211087 | NPI | - | NPPES |
| 1175 | Other | OK | SOCIAL WORK LICENSE |
| 562 | Other | OK | LADC LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1175 (Oklahoma) | Primary |
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