Individual
DEANICE SHEGOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
605 W GORE BLVD, SUITE 5A, LAWTON, OK 73501-3727
(580) 647-9430
Mailing address
2565 SE TRAIL RD, LAWTON, OK 73501-5260
(580) 647-9430
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5045
OK
Other
Enumeration date
05/25/2012
Last updated
01/22/2014
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