Individual
LEZLIE DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17087 S HIGHWAY 51A, WATONGA, OK 73772-5054
(580) 791-3084
Mailing address
17087 S HWY 51A, WATONGA, OK 73772
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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