Individual
LUCY T JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4411 W GORE BLVD STE B8, LAWTON, OK 73505-5977
(580) 353-0909
(580) 353-0923
Mailing address
4411 W GORE BLVD STE B8, LAWTON, OK 73505-5977
(580) 353-0909
(580) 353-0923
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
969
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073670626
NPI
—
Enumeration date
01/02/2007
Last updated
06/19/2009
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