Individual
MACY LEGRANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
316 NORTHRIDGE CIR STE 3, GUYMON, OK 73942-2762
(580) 338-5258
Mailing address
316 NORTHRIDGE CIR STE 3, GUYMON, OK 73942-2762
(580) 338-5258
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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