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Individual
DR. SAGE JOHN LAWRENCE
Active
Individual
DR. SAGE JOHN LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., LPC, LMFT
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3230
OK
106H00000X
Marriage & Family Therapist
1019
OK
Other
Enumeration date
04/03/2007
Last updated
09/10/2014
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