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Individual

MS. CARTESSA ECKO SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
20 NW SHADOW LAKE RD, LAWTON, OK 73505-9564
(405) 996-0290
Mailing address
20 NW SHADOW LAKE RD, LAWTON, OK 73505-9564
(405) 996-0290

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2016009266
MO
101Y00000X
Counselor
Primary
LPC07641
OK

Other

Enumeration date
10/21/2011
Last updated
05/18/2026
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