Individual
CLARA MAE KEAWPHALOUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC CANDIDATE
Contact information
Practice address
1000 REID ST, SEMINOLE, OK 74868-2204
(405) 585-7132
Mailing address
PO BOX 885, 1000 REID STREET, SEMINOLE, OK 74818-0885
(405) 585-7132
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/22/2010
Last updated
11/22/2010
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