John W. C. Wyden II

NPI #1588903959 in Antlers, Oklahoma

Provider Information

NPI Number: 1588903959
Entity Type: Individual
Name: John W. C. Wyden II
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Enumeration Date: Feb 5, 2013
Last Updated: Feb 5, 2013

Practice Location

Address: 112 N HIGH ST
City: Antlers
State: Oklahoma
ZIP Code: 74523-2250
Phone: (580) 298-3001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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