Individual
MRS. LANEE MAHONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
104 BOSTON DR, WATONGA, OK 73772-1202
(580) 614-1448
Mailing address
104 BOSTON DR, WATONGA, OK 73772-1202
(580) 614-1448
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
597
OK
Other
Enumeration date
06/09/2010
Last updated
06/09/2010
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