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Individual

MANDIE PERDUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, LPC

Contact information

Practice address
17212 SE LEE BLVD, LAWTON, OK 73501-3283
(580) 951-0017
Mailing address
17212 SE LEE BLVD, LAWTON, OK 73501-3283
(580) 951-0017

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6490
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1063719938
LICENSED PROFESSIONAL COUNSELOR
OK
Enumeration date
02/11/2011
Last updated
09/18/2024
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