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Individual

MR. LARRY L. ROBERTS II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S., LMFT

Contact information

Practice address
1 W 10TH ST, SHAWNEE, OK 74801-6801
(405) 275-2222
(405) 275-7740
Mailing address
1608 LADY LN, SHAWNEE, OK 74804-1472
(405) 878-0210
(405) 275-7740

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
852
OK

Other

Enumeration date
08/09/2006
Last updated
02/13/2014
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