Individual
AMANDA LAWHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
527 W 3RD ST, KONAWA, OK 74849-1415
(580) 925-3286
(580) 925-9149
Mailing address
527 W 3RD ST, KONAWA, OK 74849-1415
(580) 925-3286
(580) 925-9149
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3964
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3964
OKLAHOMA STATE BOARD OF LICENSED SOCIAL WORKERS
OK
Enumeration date
04/19/2011
Last updated
11/22/2021
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