Individual
VANCE H. DURHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
3101 NE BRENTWOOD DR, LAWTON, OK 73507-1909
(580) 353-0222
Mailing address
3101 NE BRENTWOOD DR, LAWTON, OK 73507-1909
(580) 353-0222
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT # 792
OK
Other
Enumeration date
11/24/2012
Last updated
11/24/2012
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