Clyde Jerome Coulter JR.
NPI #1326387192 in Midwest City, Oklahoma
Provider Information
- NPI Number
- 1326387192
- Entity Type
- Individual
- Name
- Clyde Jerome Coulter JR.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Feb 13, 2013
- Last Updated
- Feb 13, 2013
Practice Location
- Address
- 9800 NE 10TH ST
- City
- Midwest City
- State
- Oklahoma
- ZIP Code
- 73130-1507
- Phone
- (405) 706-6945
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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