Individual
LINDSAY DETWILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
604 S WALNUT ST, STILLWATER, OK 74074-4222
(253) 448-9542
Mailing address
604 S WALNUT ST, STILLWATER, OK 74074-4222
(253) 448-9542
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OK
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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