Individual
TANISHA BILLINGSLEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
6906 NW MAPLE DR, LAWTON, OK 73505-4214
(580) 595-0040
Mailing address
6906 NW MAPLE DR, LAWTON, OK 73505-4214
(580) 595-0040
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/28/2014
Last updated
02/28/2014
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