Individual
LORRIE ANN HEADRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13275 MASON, GUTHRIE, OK 73044-7548
(405) 388-7159
Mailing address
13275 MASON, GUTHRIE, OK 73044-7548
(405) 388-7159
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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