Individual
AMANDA LENORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
221 N WEWOKA AVE, WEWOKA, OK 74884-2221
(405) 257-9030
(405) 257-9031
Mailing address
PO BOX 662, PURCELL, OK 73080-0662
(405) 527-1785
(405) 527-1084
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OK
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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