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Mr. Clinton Lloyd Grimes, BS
Peer Specialist in Boley, Oklahoma
NPI 1073781589

Clinton Lloyd Grimes is a Peer Specialist based in Prague, OK. Clinton Lloyd Grimes practices in Boley, OK and has the professional credentials of BS. The NPI Number for Clinton Lloyd Grimes is 1073781589 and holds a License No. (Oklahoma).

The current practice location address for Clinton Lloyd Grimes is 369026 Us Highway 62, Boley, OK and can be reached out via phone at 918-667-3367.

Location: 369026 Us Highway 62, Boley, OK, 74864
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073781589
Provider Name
Clinton Lloyd Grimes
Credential
BS
Provider Entity Type
Individual
Gender
Male
Address
369026 Us Highway 62, Boley, OK, 74864
Phone Number
918-667-3367
Fax Number
Provider Enumeration Date
02/19/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100685660A 05 OK
100685660D 05 OK
institution
Provider Business Practice Location Address Details
Address
369026 Us Highway 62
City
Boley
State
Oklahoma
Zip
74829
Phone Number
918-667-3367
Fax Number
person
Provider Business Mailing Address Details
Address
369026 Us Highway 62
City
Boley
State
Oklahoma
Zip
74829
Phone Number
918-667-3367
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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