Individual
MRS. VICKIE MOOTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8 NW 56TH ST, LAWTON, OK 73505-5807
(580) 357-6859
Mailing address
8 NW 56TH ST, LAWTON, OK 73505-5807
(580) 357-6859
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1576
OK
Other
Enumeration date
09/21/2009
Last updated
09/21/2009
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