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Individual

AMANDA LAIJA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5131 CLASSEN CIR, OKLAHOMA CITY, OK 73118-4418
(405) 767-1126
Mailing address
5131 CLASSEN CIR, OKLAHOMA CITY, OK 73118-4418

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
S082459605
OK
Enumeration date
10/06/2011
Last updated
10/06/2011
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