Most Relevant Information
Provider Data
| NPI Number: | 1003568692 |
| Provider Name: | JOHN MICHAEL CLOUD LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/25/2022 |
| Last Updated: | 01/25/2022 |
Provider Practice Location
2617 GENERAL PERSHING BLVD
OKLAHOMA CITY
OK
731076437
Practice Location Phone/Fax
| Phone: | 4058582770 |
| Fax: |
Provider Mailing Location
PO BOX 12978
OKLAHOMA CITY
OK
731572978
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |