Individual
MRS. WANDA DENICE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2416 SW OXFORD DR, LAWTON, OK 73505-0802
(580) 574-4775
Mailing address
2416 SW OXFORD DR, LAWTON, OK 73505-0802
(580) 574-4775
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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