Individual
GLENDA FAYE HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
411 W GORE BLVD, LAWTON, OK 73501-3710
(580) 357-8166
Mailing address
411 W GORE BLVD, LAWTON, OK 73501-3710
(580) 357-8166
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OK
Other
Enumeration date
01/08/2008
Last updated
01/08/2008
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