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Individual

LACY DEANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
8596 E 101ST ST STE D, TULSA, OK 74133-7037
(830) 370-6939
Mailing address
8596 E 101ST ST STE D, TULSA, OK 74133-7037
(830) 370-6939

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6676
OK
101Y00000X
Counselor

Other

Enumeration date
06/01/2016
Last updated
04/20/2021
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