Individual
LAKESA MACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6 E LAFAYETTE AVE, COALGATE, OK 74538-2676
(405) 537-4110
Mailing address
6 E LAFAYETTE AVE, COALGATE, OK 74538-2676
(405) 537-4110
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
11610
OK
Other
Enumeration date
09/05/2013
Last updated
10/23/2023
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