NPI 1639400484

James Kenneth Clemons, MSLPC

Practitioner Foster Care Agency Lawton, OK

Practice location

Address: 2725 NE Euclid Ave, Lawton, OK 73507-7147
Phone: (580) 704-5575
Fax: (580) 585-6436

Registered specialties

Foster Care Agency Primary

Agencies Taxonomy 253J00000X Licence 425 (OK)

Other Foster Care Agency providers in Oklahoma →

Registry record

NPI: 1639400484
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jan 2010
Record last updated: 19 Jan 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.