Individual
DEVIN LOLLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1525 NW 124TH ST, OKLAHOMA CITY, OK 73120-5063
(405) 664-4104
Mailing address
1525 NW 124TH ST, OKLAHOMA CITY, OK 73120-5063
(405) 664-4104
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/28/2012
Last updated
09/28/2012
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