MR. Edward Clyde Skidmore JR., R.S.S.

NPI #1992081137 in Ardmore, Oklahoma

Provider Information

NPI Number
1992081137
Entity Type
Individual
Name
MR. Edward Clyde Skidmore JR., R.S.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
R.S.S.
Enumeration Date
Nov 2, 2011
Last Updated
Nov 2, 2011

Practice Location

Address
417 COTTONWOOD ST
ZIP Code
73401-1732
Phone
(580) 319-8402

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Counselor - Mental HealthMental Health
Counselor - PastoralPastoral

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