Individual
MS. MONIQUE LASHAWN PRESIDENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1922 KNOX RD APT 405, ARDMORE, OK 73401-0810
(580) 319-5095
Mailing address
1922 KNOX RD APT 405, ARDMORE, OK 73401-0810
(580) 319-5095
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/27/2010
Last updated
08/05/2012
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