CLAYTON E COOPER

TISHOMINGO, OK
NPI1942545991
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-12-03
Last Update Date2012-12-03
Business Address
-- CLAYTON E COOPER
801 E MAIN ST
TISHOMINGO, OK 73460-2351
Phone number: 580-371-3776
Mailing Address
-- CLAYTON E COOPER
200 MICHELLE DR
POTEAU, OK 74953-2083
Phone number: 918-839-0377
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