Individual
MISS GWENER LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5910 REPUBLIC DR, OKLAHOMA CITY, OK 73135-4455
(405) 639-9511
Mailing address
5910 REPUBLIC DR, OKLAHOMA CITY, OK 73135-4455
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/01/2014
Last updated
05/01/2014
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