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Individual

MRS. DONNA KAY MAYFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC CANDIDATE

Contact information

Practice address
5521 TEXOMA DR, ENID, OK 73703-5935
(580) 278-4067
Mailing address
5521 TEXOMA DR, ENID, OK 73703-5935
(580) 278-4067

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
6705
OK
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200373900B
OK
Enumeration date
11/11/2010
Last updated
09/13/2022
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