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Pioneer

NPI #1891022539 in Shawnee, Oklahoma

Provider Information

NPI Number
1891022539
Entity Type
Organization
Organization Name
Pioneer
Primary Specialty
Community/Behavioral Health
Enumeration Date
Nov 17, 2009
Last Updated
Nov 17, 2009

Practice Location

Address
23 E 9TH ST
Address 2
SUITE 444
City
Shawnee
State
Oklahoma
ZIP Code
74801-6943
Phone
(405) 615-9267

Authorized Official

Name
MRS. GLORIA JEAN CLOKE, M.ED., LPC
Title
OWNER/COUNSELOR
Phone
(405) 615-9267

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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