Individual
MONICA WITHERSPOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1106 NE SCISSORTAIL DR, LAWTON, OK 73507-4001
(580) 704-8808
Mailing address
1106 NE SCISSORTAIL DR, LAWTON, OK 73507-4001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7698
OK
Other
Enumeration date
09/28/2016
Last updated
02/19/2021
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