Individual
LAMAR DEWBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 KICKINGBIRD RD APT 1771, EDMOND, OK 73034-6257
(405) 210-8721
Mailing address
1700 KICKINGBIRD RD APT 1771, EDMOND, OK 73034-6257
(405) 210-8721
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/06/2012
Last updated
08/06/2012
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