Individual
MONICA LEE DANDRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. ED, LPC
Contact information
Practice address
90448 S 4687 RD, BUNCH, OK 74931-5160
(918) 905-1511
(918) 905-1511
Mailing address
90448 S 4687 RD, BUNCH, OK 74931-5160
(918) 905-1511
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
7477
OK
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
07/13/2017
Last updated
08/10/2020
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