Individual
MRS. MANUELA WIKINGER-HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,MHP,LMFT UNDER SU
Contact information
Practice address
4645 W GORE BLVD, SUITE 5, LAWTON, OK 73505-6041
(580) 355-6800
Mailing address
112 NE 48TH ST, LAWTON, OK 73507-7334
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
UNDER SUPERVISION
OK
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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